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对85例慢性阻塞性肺疾病(COPD)患者进行了1s率(FEV1%),最大呼气中期流速(MMEF),血栓素B2(TXB2),6-酮-前列腺素F1a(6K-K-PGF1a),T淋巴细胞总数(T3)及亚群(T4,T8),IgA、G、M测定。结果:FEV1%降低,血浆中TXB2浓度升高,TXB2/6-K-PGF1a比值增大,外周血中T4减少,T8增多,T4/T8比值下降。MMEF重度降低时,TXB2和TXB2/6K-K-PGF1a升高,IgG改变显著,T4减少,T4/T8比值降低。T4/T8比值降低患者,血浆中TXB2浓度升高,TXB2/6-K-PGF1a比值增大,差异显著。结果提示:COPD患者可能有TXB2/6-K-PGF1a平衡紊乱,免疫功能改变,T4/T8比值改变可能影响TXB2/6-K-PGF1a平衡。大气道和小气道发生和发展机制不完全相同。
Eighty-five patients with chronic obstructive pulmonary disease (COPD) underwent 1s rate (FEV1%), maximum expiratory flow rate (MMEF), TXB2 and 6K-K-PGF1a ), T lymphocytes (T3) and subgroups (T4, T8), IgA, G, M were measured. Results: The FEV1% decreased, the concentration of TXB2 increased, the ratio of TXB2 / 6-K-PGF1a increased, T4 decreased, T8 increased and T4 / T8 decreased in peripheral blood. When MMEF decreased significantly, TXB2 and TXB2 / 6K-K-PGF1a increased, IgG changed significantly, T4 decreased and T4 / T8 ratio decreased. In patients with a lower T4 / T8 ratio, the TXB2 concentration in plasma increased and the ratio of TXB2 / 6-K-PGF1a increased significantly. The results suggest that the patients with COPD may have the disorder of TXB2 / 6-K-PGF1a, the change of immune function, the change of T4 / T8 ratio may affect the balance of TXB2 / 6-K-PGF1a. The mechanisms of occurrence and development of the airways and small airways are not exactly the same.