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Effect of perioperative blood transfusion on T-cell subsets in patients with lung cancer

魏秀琴, 苏雷, 邓秀芝

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Abstract

目的观察围术期输血对肺癌病人CD3、CD4、CD8、CD4/CD8的影响,对输血与机体免疫抑制的关系作一前瞻性的研究.方法对40例肺部肿瘤的病人随机分组,输血组病人在术中输血600 ml,测定、比较输血组与非输血组手术前后外周血T细胞亚群的变化.结果肺癌病人在术前的CD3、CD4、CD4/CD8明显低于良性肿瘤组(P<0.05,P<0.001,P<0.001),输血组在术后表现为CD3、CD4/CD8的降低和CD8的明显升高(P<0.05,P<0.001,P<0.005),与非输血组相比较差异均有显著意义(P<0.01,P<0.001,P<0.001).结论肺癌病人的机体免疫功能处于抑制状态,T细胞亚群的测定能够反映这一状态的存在;围术期输血对肺癌病人的免疫功能有抑制作用.

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目的观察围术期输血对肺癌病人CD3、CD4、CD8、CD4/CD8的影响,对输血与机体免疫抑制的关系作一前瞻性的研究.方法对40例肺部肿瘤的病人随机分组,输血组病人在术中输血600 ml,测定、比较输血组与非输血组手术前后外周血T细胞亚群的变化.结果肺癌病人在术前的CD3、CD4、CD4/CD8明显低于良性肿瘤组(P<0.05,P<0.001,P<0.001),输血组在术后表现为CD3、CD4/CD8的降低和CD8的明显升高(P<0.05,P<0.001,P<0.005),与非输血组相比较差异均有显著意义(P<0.01,P<0.001,P<0.001).结论肺癌病人的机体免疫功能处于抑制状态,T细胞亚群的测定能够反映这一状态的存在;围术期输血对肺癌病人的免疫功能有抑制作用.

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Available abstract

目的观察围术期输血对肺癌病人CD3、CD4、CD8、CD4/CD8的影响,对输血与机体免疫抑制的关系作一前瞻性的研究.方法对40例肺部肿瘤的病人随机分组,输血组病人在术中输血600 ml,测定、比较输血组与非输血组手术前后外周血T细胞亚群的变化.结果肺癌病人在术前的CD3、CD4、CD4/CD8明显低于良性肿瘤组(P<0.05,P<0.001,P<0.001),输血组在术后表现为CD3、CD4/CD8的降低和CD8的明显升高(P<0.05,P<0.001,P<0.005),与非输血组相比较差异均有显著意义(P<0.01,P<0.001,P<0.001).结论肺癌病人的机体免疫功能处于抑制状态,T细胞亚群的测定能够反映这一状态的存在;围术期输血对肺癌病人的免疫功能有抑制作用.

Key concepts: Perioperative, Medicine, Lung cancer, Blood transfusion, Cancer, Intensive care medicine, Internal medicine, Oncology

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