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对30例接受胰岛移植后服用雷公藤多甙(TⅡ)的Ⅰ型糖尿病患者(TⅡ组)与24例胰岛移植后未应用任何免疫抑制剂的患者(对照组),分别在移植前及后15天、1个月、6个月、1年检测外周血T细胞亚群、血清C肽,并与20例健康人作对照。结果:移植前两组患者CD2、CD4均明显低于正常(P<0.01),CD4/CD8比值在1.2~2.0之间,移植后两组患者CD2、CD4均升高,TⅡ组接近正常(P>0.05),对照组CD4/CD8比值>2.0。TⅡ组19例胰岛素用量平均减少84.2%,其中2例停用胰岛素;血清C肽水平峰值达3.24±1.2ng/ml。对照组移植后6个月内与前者相仿(P>0.05),以后逐渐加大胰岛素用量,血清C肽亦下降,1年时接近术前状态(P>0.05)。提示TⅡ对胰岛移植具有免疫抑制功能,可延长移植物在受体内存活时间。
Thirty patients with type I diabetes (TII) and twenty-four patients without any immunosuppressive agent after islet transplantation (control group) received isoflurane (TII) after islet transplantation, Day, 1 month, 6 months and 1 year to detect peripheral T cell subsets and serum C-peptide, and compared with 20 healthy people. Results: Before transplantation, CD2 and CD4 were significantly lower than normal (P <0.01), and CD4 / CD8 ratio was between 1.2 and 2.0. CD2 and CD4 in both groups after transplantation increased, T Ⅱ group was close to normal (P> 0.05), the control group CD4 / CD8 ratio> 2.0. In the TII group, the insulin dosage decreased by 84.2% on average in 19 patients, of which 2 patients stopped using insulin. The peak value of serum C peptide reached 3.24 ± 1.2ng / ml. The control group within 6 months after transplantation with the former similar (P> 0.05), then gradually increase the amount of insulin, serum C-peptide also decreased, 1 year close to the preoperative state (P> 0.05). Tip T Ⅱ islet transplantation has immunosuppressive function, can extend the graft survival time in the recipient.