肺炎支原体肺炎患儿血清TNF-α、IL-6及半乳凝素3浓度测定的临床意义

Serum tumor necrosis factor-α, interleukin -6 and galctin-3 concentrations in children with Mycoplasma pneumoniae pneumonia

摘要:

目的 检测肺炎支原体肺炎（Mycoplasma pneumoniae pneumonia， MPP）患儿血清中肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）和半乳凝素3（Gal-3）浓度的变化，探讨其在MPP 中的作用。方法 应用ELISA 双抗体夹心法对48 例MPP 急性期患儿（重症组和轻症组分别为21 例和27 例）和30 例健康儿童（对照组）血清中TNF-α、IL-6、Gal-3 浓度进行检测。结果 治疗前重症组和轻症组患儿血清中TNF-α、IL-6、Gal-3 浓度明显高于对照组（P<0.05），且重症组TNF-α、IL-6 和Gal-3 水平明显高于轻症组（P<0.05）。两组患儿治疗后其浓度均明显下降（P<0.05）。结论 血清 TNF-α、IL-6 和Gal-3 在MPP 的发生发展过程中起重要作用，其血清浓度可反映MPP 患儿的病情轻重。

Abstract:

Objective To study the changes in serum tumor necrosis factor-α (TNF- α), interleukin-6 (IL-6) and galctin-3 (Gal-3) concentrations in children with Mycoplasma pneumoniae pneumonia (MPP), and their roles in MPP. Methods Serum TNF-α, IL-6 and Gal-3 concentrations were measured using double antibody sandwich ELISA in 48 children with acute MPP (severe: 21 cases; mild: 27 cases) and in 30 healthy children (control group). Results Serum concentrations of TNF-α, IL-6 and Gal-3 in both the severe and mild groups were significantly higher than in the control group before treatment. The concentrations of the three indexes in the severe group were significantly higher than in the mild group. Serum concentrations of the three indexes decreased significantly after treatment in both groups. Conclusions Serum TNF-α, IL-6 and Gal-3 play important roles in the occurrence and development of pediatric MPP and their levels are associated the severity of this disorder.