严重急性呼吸综合征(SARS)出院患者康复治疗前后实验室检查结果的变化

目的探讨严重急性呼吸综合征(SARS)出院患者康复治疗前后相关实验室检查结果的变化.方法对79例出院后的SARS患者辨证分型后给予口服中药进行康复治疗4周,用药前后抽血测白细胞计数、淋巴细胞计数、谷丙转氨酶、血清免疫球蛋白IgA亚类(IgA)、T细胞亚群抗原标志CD4 (CD4 ),构建数据库,采用t检验进行分析.结果SARS出院患者在用药后白细胞计数、淋巴细胞计数略低于治疗前,但均在正常范围内,谷丙转氨酶、IgA及CD4 均较治疗前略有升高,但除IgA升高差异具有显著性(P<0.01)外,其余各项差异均无显著性(P>0.05).结论SARS患者免疫功能的升高可能与中医药干预作用有关,但亦不能排除为患者自身机体恢复的过程.

Changes of Laboratory Results of Discharged SARS Patients Before and After Rehabilitation Treatment

Objective To discuss the changes of laboratory results of discharged SARS patients before and after the rehabilitation treatment. Methods The rehabilitation treatment with Chinese medicine was given to 79 discharged SARS patients for 4 weeks. The count of WBC and lymphocytes, GPT, IgA in serum and CD4+ of T cell were examined before and after the treatment and the database was established and analyzed by t-test. Results After the treatment the count of WBC and lymphocytes was slightly lower than that before the treatment but within the normal range. The levels of GPT, IgA in serum and CD4+ of T cell were little higher. There was a significant difference in the increase of IgA (P<0.05) among groups and no any difference in other results of the test (P>0.05). Conclusion The improvement of patient immunopotency may be related not only to Chinese medicine but also to redintegration ability of patient.