严重急性呼吸综合征(SARS)出院患者康复治疗前后实验室检查结果的变化  

Changes of Laboratory Results of Discharged SARS Patients Before and After Rehabilitation Treatment

作　　者：张忠德[1] 张瑜[1] 韩云[1] 林琳[1] 何德平[1] 许银姬[1] 江俊珊[1] 晁恩祥[2] 刘伟胜[1] 

机构地区：[1]广州中医药大学第二临床医学院,广东510120 [2]中日友好医院,北京100029

出　　处：《北京中医药大学学报（中医临床版）》2005年第3期19-21,共3页Journal of Beijing University of Traditional Chinese Medicine

基　　金：广东省中医药管理局课题(No.203002);广东省教育厅自然基金课题(No.Z03016)

摘　　要：目的探讨严重急性呼吸综合征(SARS)出院患者康复治疗前后相关实验室检查结果的变化。方法对79例出院后的SARS患者辨证分型后给予口服中药进行康复治疗4周,用药前后抽血测白细胞计数、淋巴细胞计数、谷丙转氨酶、血清免疫球蛋白IgA亚类(IgA)、T细胞亚群抗原标志CD4+(CD4+),构建数据库,采用t检验进行分析。结果SARS出院患者在用药后白细胞计数、淋巴细胞计数略低于治疗前,但均在正常范围内,谷丙转氨酶、IgA及CD4+均较治疗前略有升高,但除IgA升高差异具有显著性(P<0.01)外,其余各项差异均无显著性(P>0.05)。结论SARS患者免疫功能的升高可能与中医药干预作用有关,但亦不能排除为患者自身机体恢复的过程。Objective To discuss the changes of laboratory results of discharged SARS patients before and after the rehabilitation treatment. Methods The rehabilitation treatment with Chinese medicine was given to 79 discharged SARS patients for 4 weeks. The count of WBC and lymphocytes, GPT, IgA in serum and CD4^＋ of T cell were examined before and after the treatment and the database was established and analyzed by t-test. Results After the treatment the count of WBC and lymphocytes was slightly lower than that before the treatment but within the normal range. The levels of GPT, IgA in serum and CD4^＋ of T cell were little higher. There was a significant difference in the increase of IgA （P〈0.05） among groups and no any difference in other results of the test （P〉0.05）. Conclusion The improvement of patient immunopotency may be related not only to Chinese medicine but also to redintegration ability of patient.

关 键 词：严重急性呼吸综合征 实验室检查指标 临床观察 

分 类 号：R254.3[医药卫生—中医内科学]