基础医学与临床 ›› 2018, Vol. 38 ›› Issue (7): 988-992.

• 研究论文 • 上一篇    下一篇

微生态疗法治疗婴幼儿轮状病毒腹泻的疗效及对患儿免疫功能的影响

甄小龙,贺沙沙,吴丽萍   

  1. 甘肃中医药大学附属医院
  • 收稿日期:2017-12-08 修回日期:2018-03-30 出版日期:2018-07-05 发布日期:2018-06-29
  • 通讯作者: 甄小龙 E-mail:zhenxiaolong57@163.com

Effect of microecological therapy on rotavirus diarrhea immunologic function in infants

  • Received:2017-12-08 Revised:2018-03-30 Online:2018-07-05 Published:2018-06-29

摘要: 目的 探讨微生态疗法治疗婴幼儿轮状病毒(rotavirus,RV)腹泻的疗效,以及该疗法对患儿免疫功能的影响。方法 将150例RV腹泻患儿随机分为对照组和实验组,各75例。对照组给予蒙脱石散治疗,实验组在应用蒙脱石散的同时给予金双歧(双歧杆菌乳杆菌三联活菌片)治疗。观察临床疗效及临床症状,采用胶体金法检测RV抗原,采用流式技术和ELISA检测免疫功能。结果 实验组总有效率为90.7%,显著高于对照组的74.7%(P<0.05);与对照组比,实验组的止泻时间、退热时间及呕吐症状消失时间均较短(P<0.05);实验组治疗1、2周后的RV病毒抗原转阴率均明显高于对照组(P<0.05);治疗3周后,实验组RV病毒抗原全部转阴,对照组仍有12.0%的阳性率(P<0.05);实验组治疗后的外周血CD3+、CD4+和CD4+/CD8+比值以及血清免疫球蛋白A(IgA)、IgM水平均较治疗前显著升高(P<0.05),并且明显高于对照组(P<0.05);两组治疗期间均未出现不良反应。结论 微生态疗法治疗婴幼儿RV腹泻疗效确切,安全性高,并能有效改善患儿的免疫功能。

关键词: 关键词:轮状病毒, 腹泻, 微生态疗法, 免疫功能, 婴幼儿

Abstract: Objective To investigate the effect of microecological therapy on rotavirus (RV) diarrhea in infants and influence of it on the infants’ immunologic function. Methods 150 infants with RV diarrhea were randomly divided into the experimental group and the control group, each with 75 cases. The control group was given the treatment of montmorillonite powder. While the experimental group was given live combined bifidobacterium and lactobacillus tablets based on the application of montmorillonite powder. The clinical efficacy and the improvement of clinical symptoms were compared between the two groups. To detected RV antigen and immunologic function with colloidal gold method. Immune function was detected by flow cytometry and ELISA.Results The total effective rate of the experimental group were 74.7%,and it was significantly higher than that of the control group which was 90.7% (P<0.05). Compared with the control group, the antidiarrheal time, fever clearance time and disappearance time of vomiting symptoms in the experimental group were shorter (P<0.05). The negative conversion rate of RV virus antigen in the experimental group after 1 and 2 weeks treatment were significantly higher than that in the control group (P < 0.05). After 3 weeks treatment, RV virus antigen in the experimental group all turned negative, but the control group still had a positive rate of 12.0% (P<0.05). The peripheral blood CD3+, CD4+ and the ratio of CD4+/CD8+ in the experimental group after treatment were significantly higher than those before treatment and those in the control group after treatment (P<0.05), as well as the levels of serum immunoglobulin A (IgA) and IgM (P<0.05). No adverse reactions occurred during the treatment period in the two groups. Conclusions Microecological therapy has an exact curative effect and high security in the treatment of infantile RV diarrhea. And it could effectively improve the immunologic function of the infants.

Key words: Key words: Rotavirus, Diarrhea, Microecological therapy, Immunologic function, Infants