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检测92例反复呼吸道感染(RRTI)和42例健康儿童血清IgG亚类、外周血T细胞及其亚群。结果表明,RRTI组IgG亚类缺陷检出率为45.23%(38/84),以选择性缺陷为主,IgG缺陷居多(33.33%);RRTI患儿血清lgG_2均值在各年龄组中均明显低于对照组;RRTI组cd_3~+细胞、CD_4~+方细胞、CD_8~+细胞百分率和CD_4~+/CD_8~+细胞比值亦均显著低于对照组。提示IgG亚类缺陷,尤其是IgG_2缺陷是RRTI发病的重要机理,外周血T细胞功能及亚群的异常与IgG亚类缺陷可能有密切关系。
92 cases of recurrent respiratory tract infection (RRTI) and 42 healthy children serum IgG subclasses, peripheral blood T cells and their subgroups. The results showed that the detection rate of IgG subclass defects in RRTI group was 45.23% (38/84), with the majority of selective defects and the majority of IgG deficiency (33.33%). The mean serum lgG_2 in RRTI group was significantly higher in all age groups Were significantly lower than those in the control group. The percentages of CD_3 ~ + cells, CD_4 ~ + cells, CD_8 ~ + cells and CD_4 ~ + / CD_8 ~ + cells in RRTI group were also significantly lower than those in the control group. It is suggested that IgG subclass deficiency, especially IgG2 deficiency, is an important mechanism of RRTI. Peripheral blood T cell function and subgroup abnormalities may be closely related to IgG subclass defects.