首页|血清炎症因子及红细胞免疫指标水平与小儿轮状病毒性肠炎脱水程度的相关性分析

血清炎症因子及红细胞免疫指标水平与小儿轮状病毒性肠炎脱水程度的相关性分析

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目的:分析血清炎症因子及红细胞免疫指标与小儿轮状病毒性肠炎脱水程度的相关性。方法:选取2023年1月至2024年2月我科收治的70例轮状病毒性肠炎患儿及同期接受体检的70名健康儿童(对照组)作为研究对象。轮状病毒性肠炎患儿,根据脱水程度进一步分为轻度、中度、重度脱水组。检测所有受试者血清炎症因子肿瘤坏死因子α(TNF-α)、降钙素原(PCT)、超敏C反应蛋白(hs-CRP)及红细胞免疫指标免疫黏附促进因子(RFER)、红细胞促中性粒细胞吞噬率(ERPN)、免疫黏附抑制因子(FEIR)、红细胞C3b受体花环率(RBC-C3bR)、免疫复合物花环率(RBC-ICR)水平,并分析上述指标与脱水程度的相关性。结果:轮状病毒性肠炎患儿血清炎症因子TNF-α、PCT、hs-CRP水平均高于对照组,红细胞免疫相关指标中RFER、ERPN、RBC-C3bR水平均低于对照组,而FEIR、RBC-ICR水平高于对照组,P<0。05。随着脱水程度的加重,轮状病毒性肠炎患儿血清TNF-α、PCT、hs-CRP水平及FEIR、RBC-ICR水平依次升高,RFER、ERPN、RBC-C3bR水平依次降低,且无脱水及轻度、中度、重度脱水各组间上述指标差异均有统计学意义,P<0。05。Spearman相关性分析显示,轮状病毒性肠炎患儿血清TNF-α、PCT、hs-CRP与RFER、ERPN、RBC-C3bR水平呈负相关(P<0。05),而与FEIR、RBC-ICR水平呈正相关(P<0。05)。结论:血清炎症因子 TNF-α、PCT、hs-CRP 及红细胞免疫相关指标 RFER、ERPN、FEIR、RBC-C3bR、RBC-ICR均与轮状病毒性肠炎患儿脱水程度密切相关,可作为其脱水程度评估的参考指标。
Correlation Analysis of Serum Inflammatory Factors and Erythrocyte Immune Indexes with Dehydration Degree in Children with Rotavirus Enteritis
Objective To analyze the correlation between serum inflammatory factors and erythrocyte immune indexes with the dehydration degree in children with rotavirus enteritis.Methods Total 70 chil-dren with rotavirus enteritis admitted to our department from January 2023 to February 2024 and 70 healthy children(control group)who underwent physical examination during the same period were select-ed as the study objects.Children with rotavirus enteritis were further divided into mild,moderate and se-vere dehydration groups according to the degree of dehydration.The levels of serum inflammatory factors of tumor necrosis factor α(TNF-α),procalcitonin(PCT)and hypersensitive C-reactive protein(hs-CRP),and the levels of erythrocyte immune indexes of RFER,ERPN,FEIR,RBC-C3bR and RBC-ICR were detec-ted,and the correlation between the above indexes and the degree of dehydration were analyzed.Results The levels of serum inflammatory factors of TNF-α,PCT and hs-CRP in children with rotavirus enteritis were higher than those in the control group,and the levels of RFER,ERPN and RBC-C3bR in the erythro-cyte immune ndexes were lower than those in the control group,while the levels of FEIR and RBC-ICR were higher than those in the control group(P<0.05).With the aggravation of dehydration,the serum levels of TNF-α,PCT,hs-CRP,FEIR and RBC-ICR in children with rotavirus enteritis were increased suc-cessively,while the levels of RFER,ERPN and RBC-C3bR were decreased successively,and there were sta-tistically significant differences in the above indexes among the groups without dehydration and those with mild,moderate and severe dehydration(P<0.05).Spearman correlation analysis showed that the serum levels of TNF-α,PCT and hs-CRP were negatively correlated with the levels of RFER,ERPN and RBC-C3bR in children with rotavirus enteritis(P<0.05),but positively correlated with the levels of FEIR and RBC-ICR(P<0.05).Conclusion Serum inflammatory factors of TNF-α,PCT,hs-CRP,and erythro-cyte immune indexes of RFER,ERPN,FEIR,RBC-C3bR,and RBC-ICR are closely related to the dehydra-tion degree in children with rotavirus enteritis,and can be used as reference indexes to evaluate the degree of dehydration.

Rotavirus enteritisInflammatory factorsErythrocyte immunityDegree of dehydrationCorrelation

邓梦珂、杨扶阳

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郑州市第三人民医院儿科(河南郑州 450053)

轮状病毒性肠炎 炎症因子 红细胞免疫 脱水程度 相关性

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(11)