文档介绍:微波治疗儿童扁桃体炎对免疫功能的影响
【摘要】目的:探讨微波治疗儿童扁桃体炎对免疫的影响。方法:对所选择的儿童给以微波治疗,分别于手前1周内及术后1个月抽取静脉血2?ml,采用免疫比浊法检测血清IgA、IgG、IgM浓度。结果:术后1个月血清IgA、IgG、IgM浓度较术前差异无统计学意义。结论:微波治疗儿童扁桃体炎安全、简便、有效,对儿童机体免疫无影响。
【关键词】微波扁桃体炎免疫儿童
[ABSTRACT] Objective: To investigate the effect of microwave treatment on immune in children with tonsillitis. Method: From March 2002 to November 2004, 23 boys and 17 girls,aged 4 to 6 years, were enrolled in this study. 2ml venous blood was drawn from the ulnar vein before and one month after the treatment. Serum IgA, IgG, and IgMa were determined by immunoturbidimetry. Result: No significant difference was produced between a week before treatment and a month after treatment. Conclusion: Microwave treatment is safe, convenient, and available for children with tonsillitis.
[KEY WORDS] Microwave; Tonsillitis; Immune; Children 儿童慢性扁桃体炎是影响儿童身体健康的常见病之一,常因反复急性发作,影响儿童的健康发育。2002年3月至2004年11月,我科微波治疗儿童扁桃体炎患者40例,现将微波治疗前后免疫球蛋白的比较情况,报告如下。
1 资料与方法
一般资料 40例患儿中男23例,女17例,4 6岁,病程1 2年,每年急性发作5次以上。入院后应用微波治疗,?mm长的微波针插入扁桃体隐窝内,功率在30 35?W,持续时间2 3?s。辐射点:间隔在8 10?mm,分点进行。术后第1天扁桃体表面有白膜覆盖;7 10?d后白膜脱落,扁桃体开始萎缩;术后1个月扁桃体大小稳定,表面光滑、色泽正常。分别于术前1周内及术后1个月抽取患儿静脉血2?ml,采用免疫比浊法检测血清IgA、IgG、IgM浓度,检测期间患儿未用任何影响免疫功能的药物(3 6岁儿童免疫球蛋白正常值为IgG: ?g/L,IgA: ?g/L,IgM: ?g/L[1])
方法采用生化仪(梅里埃150)按照免疫比浊法进行对比研究。
统计学处理采用简明统计2000软件,用t检验进行统计学分析。
3 讨论
扁桃体炎是咽部扁桃体发生急性或慢性炎症,为儿童常见病。现代医学认为,扁桃体是人