Objective To study on the relationships between serum vitamin A and E levels and thymus (T) cellular immunity in children with recurrent respiratory infection,in order to provide basis for clinical treatment. Methods A total of 60 children with recurrent respiratory infection admitted in Lu'an People's Hospital from March 2016 to August 2019 were enrolled in study group,and 53 healthy children were selected as control group.Serum vitamin A,vitamin E and T cellular immunological indicators of the two groups were detected and compared.Pearson correlation analysis was used to explore the relationship between serum vitamin A,E levels and T cellular immunity of children in the study group. Results The levels of vitamin A,cluster of differentiation (CD) CD3+,CD4+ and CD4+/CD8+ in the study group were significantly lower than those in control group,while the CD8+ in study group was significantly higher than that in control group (P<0.05).The vitamin E levels in the two groups were similar (P>0.05).In the study group,the level of vitamin A was positively correlated with CD3+,CD4+ and CD4+/CD8+levels(r=0.769,0.814,0.795, P<0.05),and negatively correlated with the CD8+levels(r=-0.752,P<0.05).However,vitamin E level was not significantly related to the indexes of T cellular immunology(P>0.05). Conclusion s There is a close correlation between serum vitamin A and T cell immunity in children with recurrent respiratory tract infection.The higher the serum vitamin A level,the stronger the T cell immunity,but there is no significant correlation between serum vitamin E and T cell immunity.
Key words
recurrent respiratory infection /
vitamin A /
vitamin E /
T cellular immunity
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References
[1] Ghosh AK,Kishore B,Shaikh I,et al.Effect of oral nutritional supplementation on growth and recurrent upper respiratory tract infections in picky eating children at nutritional risk:a randomized,controlled trial[J].J Int Med Res,2018,46(6):2186-2201.
[2] 石正英,管建宏,施益农.儿童反复呼吸道感染72例致病因素分析[J].临床肺科杂志,2017,22(9):1711-1713.
[3] 甄宏,戴艺,杜武杰,等.维生素A、D、E水平与儿童反复呼吸道感染相关性研究[J].中国儿童保健杂志,2018,26(12):114-116.
[4] 王玲利,黄莹,汪菲,等.维生素A、E缺乏与儿童反复呼吸道感染相关性分析[J].中国妇幼保健,2018,17(1):3920-3922.
[5] 王晓川,申昆玲.反复呼吸道感染临床诊治路径[J].中国实用儿科杂志,2016,31(10):721-725.
[6] Li YR,Xiao CC,Li J,et al.Association between air pollution and upper respiratory tract infection in hospital outpatients aged 0~14 years in Hefei,China:a time series study[J].Public Health,2018,156(12):92-100.
[7] Vorilhon P,Arpajou B,Vaillant Roussel H,et al.Efficacy of vitamin C for the prevention and treatment of upper respiratory tract infection:a meta-analysis in children[J].Eur J Clin Pharmacol,2019,75(3):303-311.
[8] van Kessel DA,Hoffman TW,van Velzen-Blad H,et al.Long-term clinical outcome of antibody replacement therapy in humoral immunodeficient adults with respiratory tract infections[J].E Bio Medicine,2017,18(25):254-260.
[9] 李亚,聂鑫,崔明明,等.儿童反复呼吸道感染与血清维生素A、D、E水平的相关性研究[J].中国儿童保健杂志,2017,25(6):634-636.
[10] 赵富建,张涛,刘利.维生素A、E水平与儿童反复呼吸道感染的关系[J].海南医学,2019,30(12):1554-1556.
[11] Prasad R,Sharma A,Das BK,et al.Serum retinol,vitamin d and zinc levels in under five children with acute lower respiratory tract infections[J].Indian J Pediatr,2019,86(2):196-197.
[12] Scullion L,Baker D,Healey P,et al.No association between vitamin D and acute respiratory tract infections amongst elite new zealand rugby players and rowers[J].Int J Vitam Nutr Res,2018,88(1-2):8-15.
[13] Schoch J,Rohrer TR,Kaestner M,et al.Quantitative,phenotypical and functional characterization of cellular immunity in pediatric individuals with Down syndrome[J].J Infect Dis,2017,215(10):1619-1628.
[14] 刘萍萍,谢宝强,业晓青,等.反复呼吸道感染儿童细胞免疫与体液免疫研究[J].中国预防医学杂志,2019,53(2):136-138.
[15] 秦华均,李长金,王启义.脾多肽联合常规治疗对反复小儿呼吸道感染的疗效及对免疫功能的影响[J].实用临床医药杂志,2017,21(1):97-99.
[16] 方彩文,邹旭凤,徐小娟,等.学龄前儿童反复呼吸道感染危险因素及与维生素D相关性分析[J].中国儿童保健杂志,2019,27(6):673-676.
[17] 张海美,孙中厚,丁媛慧,等.不同年龄反复呼吸道感染儿童血清维生素A、E水平测定及其临床意义[J].中国儿童保健杂志,2017,25(6):595-597.