首页|血小板相关抗体在儿童免疫性血小板减少症治疗效果评估中的临床价值

血小板相关抗体在儿童免疫性血小板减少症治疗效果评估中的临床价值

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目的:探究血小板相关抗体(PA-Ig)在儿童免疫性血小板减少症(ITP)治疗效果评估中的临床价值。方法:选取2020 年2 月至2023 年2 月医院收治的104 例ITP 患儿以及 22 例健康儿童作为研究对象,分别将其纳入观察组与对照组,观察组患儿根据治疗结果分为完全反应组、有效组与无效组,所有儿童均进行PA-Ig 水平检测。结果:观察组 104 例患儿中,有 85 例(81。73%)患儿治疗后为完全反应(完全反应组),11 例(10。58%)为有效(有效组),其余 8 例(7。69%)为无效(无效组);观察组PA-IgG、PA-IgM、PA-IgA水平高于对照组(P<0。05);完全反应组 PA-IgG、PA-IgM、PA-IgA 水平低于有效组与无效组,有效组PA-IgG、PA-IgM、PA-IgA水平低于无效组,不同治疗效果的三组ITP 患儿PA-IgG、PA-IgM、PA-IgA水平比较差异有统计学意义(P<0。05)。结论:对ITP 患儿PA-Ig水平进行检测有利于临床针对患儿情况进行治疗与早期疗效评估,降低患儿治疗风险,在ITP 患儿治疗效果评估中具有一定评估价值。
Clinical Value of Platelet Associated Antibodies in Evaluating the Therapeutic Effect on Children with Immune Thrombocytopenia
Objective:To investigate the clinical value of platelet associated antibodies(PA-Ig)in e-valuating the therapeutic effect on children with immune thrombocytopenia(ITP).Methods:A study from February 2020 to February 2023 was conducted.104 children with ITP(observation group)and 22 healthy children(control group)were selected as the study subjects.Children in the observation group were divided into the complete response group,the effective group,and the ineffective group based on the treatment out-comes.All children were tested for PA-Ig levels.Results:Among the 104 children in the observation group,85(81.73%)achieved complete response(complete response group),11(10.58%)showed effectiveness(effective group),and the remaining 8(7.69%)were ineffective(ineffective group).PA-IgG,PA-IgM,and PA-IgA levels in the observation group were lower than those in the control group(P<0.05).In the complete response group,PA-IgG,PA-IgM,and PA-IgA levels were lower than in the effective and ineffec-tive groups.The effective group had lower levels compared to the ineffective group.There were statistically significant differences in PA-IgG,PA-IgM,and PA-IgA levels among the three groups with different treat-ment outcomes(P<0.05).Conclusion:Testing PA-Ig levels in pediatric ITP patients is beneficial for tailor-ing treatment and assessing early efficacy,reducing the risk of treatment,and has certain value in the evalua-tion of treatment outcomes in pediatric ITP patients.

Immune thrombocytopeniaPlatelet associated antibodyChildTherapeutic effect

刘娜、白涛敏、李瑞、韩田田、马芳芳、林博浩

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陕西省人民医院儿科,陕西 西安 710068

免疫性血小板减少症 血小板相关抗体 儿童 治疗效果

陕西省重点研发计划

2017SF-239

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(1)
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