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重症肺炎患者淋巴细胞亚群及细胞因子的变化及其预测价值

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目的 探讨重症肺炎患者淋巴细胞亚群和细胞因子的变化以及预测价值。方法 选取2022年1月—2023年2月在本院接诊的80例重症肺炎患者作为研究对象,按照病情严重程度分为重症组(40例)和非重症组(40例),同时选取前来我院健康体检的健康人群40例,作为对照组。分别对三组患者血液中淋巴细胞亚群和细胞因子进行检验,探究不同严重程度患者淋巴细胞水平和细胞因子水平差异。结果 在淋巴细胞亚群水平对比中,重症组患者CD3+水平低于非重症组。同时,上述两组患者淋巴细胞水平较对照组更低,差异有统计学意义(P<0。05)。在细胞因子水平对比中,重症组患者和非重症组患者水平较对照组患者细胞水平因子更高,此外,重症组细胞因子水平明显高于非重症组,差异有统计学意义(P<0。05)。结论 对重症肺炎患者进行淋巴细胞亚群和细胞因子水平检测,可以有效评估重症肺炎患者病情严重程度,为后续治疗提供有效依据,可在临床中广泛应用。
Changes and Predictive Value of Lymphocyte Subpopulations and Cytokines of Severe Pneumonia Patients
Objective To explore changes and predictive value of lymphocyte subpopulations and cytokines for patients with severe pneumonia.Methods The paper chose 80 severe pneumonia patients admitted to our hospital from January 2022 to February 2023,and divided them into severe group of 40 cases and non severe group of 40 cases according to condition severity.At the same time,40 healthy individuals with physical examination in our hospital were included in control group.Lymphocyte subpopulations and cytokines in blood of three groups was analyzed and tested,and difference in lymphocyte and cytokine levels among patients with different severity levels was explored.Results Comparison of lymphocyte subpopulations showed,levels of CD3+,CD4+,and CD8+in severe group were(62.08±4.95),(25.16±2.96),and(35.94±2.89),while those in non severe group were(71.01±4.23),(30.28±2.83),and(29.07±1.53).At the same time,lymphocyte levels in above two groups were lower than(80.24±3.70),(34.13±2.58),and(24.81±2.36)in control group(P<0.05),difference was statistically significant.Cytokine levels in severe and non severe groups were higher than control group.in addition,cytokine levels in severe group were significantly higher than non severe group(P<0.05),difference was statistically significant.Conclusion Detection of lymphocyte subpopulations and cytokine levels can effectively assess condition severity of patients with severe pneumonia,provide effective basis for subsequent treatment,which can be widely applied in clinical practice.

Severe pneumoniaLymphocyte subpopulationsCytokinespredictive value

谷小宝、谢永鹏

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扬州大学,江苏 扬州 225127

灌南县第一人民医院 重症医学科,江苏 灌南 222500

连云港市第一人民医院 重症医学科,江苏 连云港 222000

重症肺炎 淋巴细胞亚群 细胞因子 预测价值

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
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