高级检索
宫英, 逄增昌, 强新, 汪照国, 吴伟风, 董礼艳, 宁峰. 土拉弗氏菌病患者血清抗体20年变化趋势分析[J]. 中国公共卫生, 2006, 22(10): 1201-1202. DOI: 10.11847/zgggws2006-22-10-29
引用本文: 宫英, 逄增昌, 强新, 汪照国, 吴伟风, 董礼艳, 宁峰. 土拉弗氏菌病患者血清抗体20年变化趋势分析[J]. 中国公共卫生, 2006, 22(10): 1201-1202. DOI: 10.11847/zgggws2006-22-10-29
GONG Ying, PANG Zengchang, QIANG Xin, . Analysis on alternation trend of antibodies in tularemia patients from 1985 to 2005[J]. Chinese Journal of Public Health, 2006, 22(10): 1201-1202. DOI: 10.11847/zgggws2006-22-10-29
Citation: GONG Ying, PANG Zengchang, QIANG Xin, . Analysis on alternation trend of antibodies in tularemia patients from 1985 to 2005[J]. Chinese Journal of Public Health, 2006, 22(10): 1201-1202. DOI: 10.11847/zgggws2006-22-10-29

土拉弗氏菌病患者血清抗体20年变化趋势分析

Analysis on alternation trend of antibodies in tularemia patients from 1985 to 2005

  • 摘要:
      目的   了解土拉弗氏菌病患者免疫力维持时间、影响因素及一般人群中隐性感染情况。
      方法   分别于发病后3周, 6个月, 2, 3, 6, 7, 8, 9, 20年采集血清, 对山东省胶南县原外贸冷藏厂的31名土拉弗氏菌病患者及同地区一般人群进行纵向队列研究, 检测血清中土拉弗氏菌特异性抗体, 当效价 > 1:40时为阳性; 并于2005年对其发病状况和行为习惯等进行回顾性调查。
      结果   病例组抗体几何平均滴度(GMT)从1986年的11890.00逐年下降到2005年的46.94, 抗体效价衰减率为59.1%。早期抗体水平与后期抗体水平相关分析系数r=0.659(P < 0.05), 二者呈正相关。问卷调查表明, 发病状况和行为习惯等与后期抗体水平的差异无统计学意义(P > 0.05)。对照组历年来均为阴性。
      结论   部分患者血清的土拉弗氏菌特异性抗体可长期存在, 并呈逐渐下降趋势, 而且后期抗体水平很大程度上受早期抗体效价高低的影响, 与其他因素无关。一般人群无隐性感染。

     

    Abstract:
      Objective   To study the maintainable time of humoral immunity against Frencisella tularensis after infection, influence factors and the recessive infection situation in healthy people.
      Methods   Thirty-one subjects with acute tularemia and the same area healthy people were studied for antibodies to Frencisella tularensis by using Immuno-Chromatographic Assay(ICA)in third week(Jan., 1986), sixth month(July, 1986), second year(1987), third years(1988), sixth year(1991), seventh year(1992), eighth year(1993), ninth year(1994), twentieth year(2005).Special antibody were detected in the cohort study.Titers of > 1B40 were defined as positive.And the subjects were retrospectively studied in 2005.
      Results   The GMT of subjects decreased from 11890.00(in 1986)to 46.94(in 2005).The rate of decay was 59.1%.Acorrelation was known between the titer of earlier period and that of the latephase(r=0.659, P < 0.05).There were no statistically significant difference between the content of questionnaire and the late-phasetiter.The control group was negative result during 20 years.
      Conclusion   Special antibody in partial patients can last for a long time with a gradual reducing trend.The titer of the earlier period influence sig nificantly that of the late-phase without other factors.And there is no recessive infection in the healthy people.

     

/

返回文章
返回