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山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (9): 79-81.

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痰中SP-D水平的改变在肺结核诊断中的价值探讨

胡华, 徐勇,迟晶宇, 鞠云飞, 杨燕,侯宝青,李学政,孟繁敏,李磊   

  1. 山东省胸科医院呼吸科, 济南250013
  • 收稿日期:2010-03-31 出版日期:2010-09-16 发布日期:2010-09-16
  • 作者简介:胡华(1962- ) ,女,主任医师,主要从事呼吸系统相关疾病的研究。 E-mail:huhua2751@126.com
  • 基金资助:

    山东省科学技术厅基金资助项目(2006GG2202035)。

Value of SP-D levels in the sputum in the diagnosis of pulmonary tuberculosis

HU Hua, XU Yong, CHI Jingyu, JU Yunfei, YANG Yan, HOU Bao-qing,  LI Xue-zheng, MENG Fan-min, LI Lei   

  1. Department of Respiratory Diseases, Shandong Provincial Chest Hospital, Jinan 250013, China
  • Received:2010-03-31 Online:2010-09-16 Published:2010-09-16

摘要:

目的     检测肺结核患者痰中肺表面活性物质相关蛋白D(SP-D)的水平及其变化,探讨其对肺结核诊断和鉴别诊断的价值。方法     采用ELISA方法检测100例肺结核患者、84例健康人痰中SP-D的水平及抗结核菌抗体,采用沉降法检测血沉,采用电阻法测定白细胞计数、中性粒细胞及淋巴细胞比例,采用Mantoux法进行PPD实验。结果    肺结核患者痰中SP-D的水平明显低于健康人(P<0.05),性别、年龄等因素对肺结核患者的SP-D水平没有明显影响(P>0.05)。 结论     测定痰中SP-D的水平对于肺结核的诊断和鉴别诊断具有参考价值。

关键词: 结核,肺;痰;诊断;肺表面活性物质相关蛋白D

Abstract:

Objective    To observe the level of surfactant protein-D(SP-D) in the sputum in pulmonary tuberculosis patients, and explore its value in the diagnosis of pulmonary tuberculosis. Methods     The SP-D level in the sputum was detected by ELISA in 100 samples from pulmonary tuberculosis patients and 84 samples from healthy subjects. The leucocyte count, neutrophilic granulocyte percentage and lymphocyte percentage were determined with the electric resistance method, erythrocyte sedimentation rates by the sedimentation process, and tubercle bacillus antibodies by ELISA. The PPD trial was executed with the Mantoux method. Results     Level of SP-D in the sputum in pulmonary tuberculosis was much lower than that in healthy subjects(P<0.05), and there was no obvious difference between pulmonary tuberculosis patients with different genders, ages and other factors (P>0.05). Conclusions     Detection of SP-D in the sputum is of great value in the diagnosis and differential diagnosis of pulmonary tuberculosis. The gender, age and other factors have nothing to do with the level of SP-D in the sputum in pulmonary tuberculosis.

Key words: Tuberculosis, pulmonary;Sputum;Diagnosis;Surfactant protein-D

中图分类号: 

  • R521
[1] 王信杰1,杜向阳2. 降钙素原与腺苷脱氨酶联合检测
诊断结核性胸腔积液
[J]. 山东大学学报(医学版), 2012, 50(9): 79-82.
[2] 路超1,沈亚娟1,邓云峰2,王长印1,张炳昌1,范刚1,赵跃然3,刘义庆1,赵胜梅1,王子娥1,张春芝1,卢志明1 . 肺结核患者杀伤细胞免疫球蛋白样受体基因多态性分析[J]. 山东大学学报(医学版), 2012, 50(1): 122-.
[3] 徐勇,胡华,迟晶宇,杨燕,鞠云飞,侯宝青,李学政. 肺结核患者血清SP-D检测的临床意义[J]. 山东大学学报(医学版), 2011, 49(5): 125-.
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