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儿童慢性特发性血小板减少性紫癜T细胞亚群变化研究
引用本文:蒋小梅,吴攀,郑敏翠,旷文勇,李婉丽,杨海霞,邓映,杨振.儿童慢性特发性血小板减少性紫癜T细胞亚群变化研究[J].中国当代医药,2011,18(36):80-81.
作者姓名:蒋小梅  吴攀  郑敏翠  旷文勇  李婉丽  杨海霞  邓映  杨振
作者单位:1. 湖南省儿童医院血液内科,湖南长沙,410007
2. 中南大学湘雅医院肿瘤科,湖南长沙,410008
摘    要:目的:探讨儿童慢性特发性血小板减少性紫癜(idiopathicthrombocytopenicpurpura,ITP)T细胞亚群变化的具体情况及临床意义。方法:采用流式细胞仪分别检测30例儿童慢性ITP患者和15例健康儿童(对照组)的外周血CD4+/CD8+比值、天然杀伤细胞(naturalkillercell,NK细胞)计数、调节性T细胞(Treg细胞)计数,比较两组之间的差异。结果:慢性ITP组与对照组比较,CD4+/CD8+比值,CD16+CD56+NK细胞数,CD4+CD25+细胞/CD4+细胞比值均降低,P均〈0.05。结论:CD4+、CD8+T细胞亚群改变,NK细胞减少,Treg细胞减少与儿童慢性ITP的发病有关。

关 键 词:特发性血小板减少性紫癜  儿童  慢性  T淋巴细胞亚群

The study of the changing of T-cell subsets in children with chronic idiopathic thrombocytopenic purpura
Authors:JIANG Xiaomei  WU Pan  ZHENG Mincui  KUANG Wenyong  LI Wanli  YANG Haixia  DENG Ying  YANG Zhen
Affiliation:1.Department of Hematology,Children’s Hospital of Hunan Province,Changsha 410007,China;2.Department of Oncology,Xiangya Hospital of Central South-University of Changsha in Hunan Province,Changsha 410008,China
Abstract:Objective: To study the changing of T-cell subsets and its clinical significance in children with chronic idiopathic thrombocytopenic purpura. Methods: Peripheral blood CD4+/CDs+ ratios, natural killer (NK) counts and regulatory T cells counts of 30 children with chronic ITP and 15 healthy children (control group) were determined respectively by flow cytometry, and their differences were compared between two groups. Results: Peripheral blood CD4+/CD8+ ratios, natural killer (NK) counts and regulatory T cells counts in Chronic ITP group all decreased compared with control group (P〈0.05). Conclusion: Chronic ITP in children is related to the changing of CD4+ and CD8+ T cell subsets and the decrease of NK cells and regulatory T cells counts.
Keywords:Idiopathic thrombocytopenic purpura  Children  Chronic  T lymphocyte subsets
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