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作者分别测定了35例乙型肝炎后肝硬变患者的免疫球蛋白(SIg),T细胞亚群、巨噬细胞吞噬功能,并随机分成两组,给予高血糖素或胰岛素治疗,两周后复查,高血糖素组IgG14.39±5.03g/L,IgA2.04±0.61g/L,IgM1.82±0.87g/L,CD ̄+-356.15±8.58%,CD ̄+-445.85±7.94%,CD ̄+-841.94±5.82%,CD ̄+-4/CD ̄+-81.12±0.12,巨噬细胞吞噬率52.29±8.64%,吞噬指数为1.02±0.24.较胰岛素组及同组治疗前比较,SIg下降、T细胞升高,T亚群比例改善、巨噬细胞功能增强,特别是IgG(P<0.05),CD ̄+-8P<0.01),CD ̄+-4/CD ̄+-8(P<0.05)及巨噬细胞吞噬率(P<0.05)变化显著.提示高血糖素对肝硬变患者免疫功能有一定的调节意义.
The authors measured the immunoglobulin (SIg), T cell subsets, macrophage phagocytosis in 35 patients with posthepatitic cirrhosis and were randomly divided into two groups, given glucagon or insulin therapy, and two weeks later Review, glucagon group IgG14.39 ± 5.03g / L, IgA2.04 ± 0.61g / L, IgM1.82 ± 0.87g / L, CD ~ + -356.15 ± 8.58%, CD + -445.85 ± 7.94%, CD ~ + -841.94 ± 5.82%, CD ~ + -4 / CD ~ + -81.12 ± 0.12, macrophage phagocytosis rate 52. 29 ± 8.64% and phagocytic index 1.02 ± 0.24. Compared with the insulin group and the same group before treatment, SIg decreased, T cells increased, the proportion of T subgroups improved, macrophage function enhanced, especially IgG (P <0.05), CD ~ + -8P <0.01 ), CD ~ + -4 / CD ~ + -8 (P <0.05) and macrophage phagocytosis rate (P <0.05). Prompted glucagon immune function in patients with cirrhosis have a certain regulatory significance.