引用本文:王 娟,葛海波,孙思庆,徐 婷.支气管肺泡灌洗液中IL-10的检测对肺结核的诊断意义[J].中国临床新医学,2015,8(1):11-13.
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支气管肺泡灌洗液中IL-10的检测对肺结核的诊断意义
王 娟,葛海波,孙思庆,徐 婷
210009 江苏,南京市胸科医院结核科(王 娟,葛海波);210009 南京,东南大学附属中大医院呼吸科(孙思庆,徐 婷)
摘要:
[摘要] 目的 检测肺结核患者支气管肺泡灌洗液中IL-10水平,探索IL-10对肺结核的诊断意义。方法 采用ELISA双抗体夹心法测定50例肺结核患者及48名健康体检者外周血IL-10水平,同时测定肺结核患者抗结核治疗前后支气管肺泡灌洗液中IL-10水平,观察其差异有无统计学意义。结果 肺结核患者外周血中IL-10水平明显高于健康对照组,肺结核患者经抗结核治疗后外周血和支气管肺泡灌洗液中IL-10水平均较治疗前下降。结论 在结核病的发生过程中IL-10发挥了重要的免疫抑制作用,它对临床上肺结核的诊断有一定辅助意义。
关键词:  肺结核  支气管肺泡灌洗液  白细胞介素-10
DOI:10.3969/j.issn.1674-3806.2015.01.04
分类号:R 521
基金项目:南京市医学科技发展课题(编号:YKK12126)
The value of detecting the level of IL-10 in bronchoalveolar lavage fluid for tuberculosis diagnosis
WANG Juan, GE Hai-Bo, SUN Si-qing, et al.
Department of Tuberculosis, Nanjing Chest Hospital,Jiangsu 210009,China
Abstract:
[Abstract] Objective To detect the the level of IL-10 in bronchoalveolar lavage fluid and explore the diagnostic value of IL-10 in tuberculosis.Methods The double-antibody sandwich ELISA methods were used to detect the expression of IL-10 in serum of 50 patients with pulmonary tuberculosis and 48 healthy people. The expression of IL-10 in bronchoalveolar lavage fluid of 50 patients with pulmonary tuberculosis was detected before anti- tuberculosis therapy and after 4 weeks′ therapy and compared their statistical differences.Results The level of IL-10 in peripheral blood of patients with pulmonary tuberculosis was significantly higher than that of the healthy people. The level of IL-10 in both peripheral blood and in bronchoalveolar lavage fluid of patients with pulmonary tuberculosis decreased after anti-tuberculosis therapy than those before therapy.Conclusion IL-10 plays an important role on immunosuppression in the the process of development of tuberculosis and it may assist in diagnosing tuberculosis in the clinical work.
Key words:  Pulmonary tuberculosis  Bronchoalveolar lavage fluid  IL-10