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分别测定发作期及缓解期过敏性哮喘共296例和40例健康人血嗜酸性粒细胞(Eos)计数,血清嗜酸细胞阳离子蛋白(ECP)和IgE抗体。并观察了其中30例患者吸入二丙酸倍氯米松(BDP)4周前后上述指标和肺功能变化。结果:发作期过敏性哮喘患者血Eos计数,血清ECP、TIgE、sIgE水平明显高于其它两组(均为P<001)。治疗前、后血Eos、ECP和肺功能(FEV1、PEF、Raw、sGaw等)指标相比均有显著或非常显著性差异(P<005或P<001)。过敏性哮喘发作期病人Eos与ECP水平变化呈高度正相关(ρ=0721,P<001),而Eos、ECP分别与FEV1%呈高度负相关(ρ=-0782,ρ=-0695;P均<001)。结论:血清ECP水平可作为哮喘气道炎症监测及指导治疗的客观指标
A total of 296 patients with allergic asthma at the onset and remission stage and 40 healthy subjects were enrolled in this study. Eos counts, serum eosinophil cationic protein (ECP) and IgE antibodies were measured. The changes of these indexes and pulmonary function were observed before and after inhalation of beclomethasone dipropionate (BDP) in 30 of them. Results: Eos count, serum ECP, TIgE and sIgE in patients with allergic asthma at the onset stage were significantly higher than those in the other two groups (all P <001). Eos, ECP and pulmonary function (FEV1, PEF, Raw, sGaw, etc.) indicators of blood before and after treatment had significant or very significant difference (P <005 or P <001). There was a highly positive correlation between Eos and ECP levels in patients with allergic asthma (ρ = 0721, P <001), while Eos and ECP were highly negatively correlated with FEV1% (ρ = -0782, ρ = -0.695; all P <001). Conclusion: The level of serum ECP can be used as an objective indicator of airway inflammation monitoring and treatment in asthma