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小剂量干扰素α联合维生素A治疗小儿麻疹的效果

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目的 探讨小剂量干扰素α(IFN-α)联合维生素A治疗小儿麻疹的效果.方法 麻疹病儿90例,随机分为观察组和对照组,各45例.两组均给予常规治疗,在此基础上对照组口服维生素A油丸治疗,观察组口服维生素A油丸、肌内或皮下注射重组人IFN-α-2b治疗,观察并比较两组病儿住院时间、退热时间、咳嗽消退时间、腹泻消退时间及并发症的发生情况,检测两组治疗前后T淋巴细胞亚群.结果 观察组住院时间、退热时间、咳嗽消退时间、腹泻消退时间均明显短于对照组,差异有统计学意义(t=3.422~4.849,P<0.05),肺炎、喉炎等并发症发生率低于对照组,差异有统计学意义(x 2=11.520,P<0.05).与治疗前比较,观察组治疗后CD+、CD4+及CD//CD8+明显升高,CD8+明显降低,差异有显著性(t =2.606~7.221,P<0.05).治疗后观察组CD3+、CD4+及CD4+/CD8+较对照组明显上升,CD8+明显降低,差异有显著性(t =2.212~4.742,P<0.05).结论 应用小剂量IFN-α-2b联合维生素A治疗可明显改善麻疹病儿的临床症状,较快恢复病儿受抑的T淋巴细胞功能,值得临床推广使用.
EFFECT OF LOW-DOSE INTERFERON-α COMBINED WITH VITAMIN A IN TREATMENT OF MEASLES IN CHILDREN
Objective To investigate the effect of low-dose interferon-α combined with vitamin A in the treatment of measles in children.Methods A total of 90 children with measles were equally and randomly divided into observation group and control group.The control group was orally given vitamin A oil pills in addition to the conventional treatment,while the observation group was given the intramuscular or subcutaneous injection of recombinant human interferon-α-2b (IFN-α-2b) in addition to the treatment for the control group.The T lymphocyte subsets (CD3+,CD4+,CD4+/CD8+) in the two groups were determined before and after treatment.The following indices were observed and compared between the two groups:length of hospital stay,fever clearance time,time to cough resolution,time to diarrhea resolution,and incidence of complications.Results The observation group had significantly shorter length of hospital stay,fever clearance time,time to cough resolution,and time to diarrhea resolution than the control group (t =3.422-4.849,P<0.05),and had a significantly lower incidence of complications (such as pneumonia and laryngitis) than the control group (x2 =11.520,P <0.05).After treatment,the observation group had significantly increased percentages of CD3+ and CD4+ T lymphocytes and CD4+/CD8+ ratio and a significantly reduced percentage of CD8+ T lymphocytes (t=2.606-7.221,P<0.05).And after treatment,the observation group had significantly increased percentages of CD3+ and CD4+ T lymphocytes and CD4+/CD8+ ratio and a significantly reduced percentage of CD8+ T lymphocytes compared with the control group (t=2.212-4.742,P<0.05).Conclusion Low-dose IFN-α-2b combined with vitamin A can significantly improve the clinical symptoms of children with measles and rapidly restore the inhibited T lymphocyte function,so it holds promise for clinical application.

interferon-alphavitamin Ameasleschild

文丹宁、胡继川

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武汉市医疗救治中心小儿传染科,湖北武汉430023

武汉市东西湖区人民医院神经内科

干扰素α 维生素A 麻疹 儿童

武汉市临床医学科研项目

WX14C43

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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