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目的 观察慢性肝炎(CH) 高压氧( HBO) 治疗前后患者的免疫功能、肝组织中HBsAg 、HBcAg 变化。方法:用纯氧单仓治疗(2-5MPa ,2h/d ,10d/cyc ,6cyc)30 例CH,治疗前后用美国BECMAN 公司生产ArrayTMProtein System 360 测全部患者静脉血白蛋白( A) 、γ球蛋白(γ) 、lgA、lgG、lgM、和补体C3 、C4 ;二次肝穿刺活检,ABC 法检测肝组织中HBsAg 、HBcAg 。取算术均数行t 检验。结果:HBO 治疗后静脉血γ、lgG、lgM、明显降低,A、C3 明显升高,治疗前后差异显著( P<0-05) ;肝组织中HBsAg 、HBcAg 变化不明显,治疗前后差异不显著( P> 0-05) 。结论:HBO 治疗CH,可抑制患者的免疫功能,对HBsAg 、HBcAg 抑制作用不明显
Objective To observe the immune function of patients with chronic hepatitis (CH) before and after HBO treatment and the changes of HBsAg and HBcAg in liver tissue. Methods: Thirty cases of CH (2-5MPa, 2h / d, 10d / cyc, 6cyc) were treated with pure oxygen in a single warehouse. ArrayTMProtein System 360 manufactured by BECMAN Company was used to measure venous blood albumin (A) (Γ), lgA, lgG, lgM, and complement C3, C4; liver biopsy, ABC ABC method to detect HBsAg and HBcAg in liver tissue. Take arithmetic mean t test. Results: The levels of γ, lgG and lgM in the blood of HBO after treatment were significantly lower, while the levels of A and C3 were significantly increased (P <0-05). The changes of HBsAg and HBcAg in liver tissue were not obvious, and there was no significant difference between before and after treatment (P> 0-05). Conclusion: HBO treatment of CH, can inhibit the immune function in patients with HBsAg, HBcAg inhibition was not obvious