晚孕期孕妇口服益生菌制剂对新生儿-省略--4-IFN-水平影响的临床研究-刘明颖

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IL-4、IFN-γ①②①①110004R725.7A1001-4411201206-0923-03①②【】IL-4、IFN-γ。342121。ELISAIL-4IFN-γ。①P>0.05②IL-4P<0.05IFN-γP>0.05IL-4/IFN-γP<0.05。IL-4IFN-γ。【】IL-4IFN-γClinicalresearchoftheeffectoforaladministrationofprobioticproductsamongthepregnantwomenduringthethirdtrimesterofpregnancyonintestinalfloraandlev-elsofIL-4IFN-γinumbilicalcordbloodoftheneonatesLIUMing-YingLIHuiSHIZhanetal.DepartmentofGynecologyandObstetricsAffiliatedShengjingHospitalofChi-naMedicalUniversityShenyang110004LiaoningChina〔Abstract〕ObjectiveTodetectthechangesofintestinalfloraandlevelsofIL-4IFN-γinumbilicalcordbloodoftheneonatesbyoraladministrationofprobioticproductsamongthepregnantwomenduringthethirdtrimesterofpregnancyexploretheeffectofprobioticsonneonatalimmunity.MethodsThirty-fourpregnantwomenwhoadoptedelectivecesareansectionweredividedintoexperimentalgroupandcontrolgrouprandomly21pregnantwomeninexperimentalgroupweretreatedwithmilkpowdercontainingprobioticswhile21preg-nantwomenincontrolgroupweretreatedwithmilkpowderwithoutprobioticstheneonatalfeceswereobtainedforbacterialcultureunderaerobicenvironmentandanaerobicenvironmentrespectivelythenbacterialsmearswereperformedtoobservethechangesofintestinalfloraofneonates.AftercesareansectiontheumbilicalcordbloodsamplesofneonateswerecollectedthenserumsampleswereobtainedELISAwasusedtodetectthelevelsofIL-4andIFN-γinthetwogroups.ResultsTherewasnosignificantdifferenceinthechangesofintestinalfloraofneonatesbetweenthetwogroupsP>0.05therewassignificantdifferenceinumbilicalcordserumlevelofIL-4betweenthetwogroupsP<0.05buttherewasnosignificantdifferenceinumbilicalcordserumlevelofIFN-γP>0.05therewassignificantdiffer-enceintheratioofIL-4/IFN-γbetweenthetwogroupsP<0.05.ConclusionOraladministrationofprobioticproductsamongthepreg-nantwomenduringthethirdtrimesterofpregnancyhasnoobviousimpactonthechangesofintestinalfloraofneonatesbutafterIL-4andIFN-γdetectioninumbilicalcordofneonatesitisindicatedthatoraladministrationofprobioticproductsamongthepregnantwomenduringthethirdtrimesterofpregnancymayenhanceneonatalimmunityandpreventorreducetheoccurrenceofneonatalallergicdiseases.〔Keywords〕ProbioticsIL-4IFN-γUmbilicalcordbloodfecesoftheneonates。。。probiot-ics〔1〕。。。11.12007~2008、、34·329·IL-4、IFN-γ61×106cfu/g212121。25~373026~3629P>0.05。。2730g~4200g3380g2580~3830g3320gP>0.05。1.23ml20min3000/15min-20℃。。24~36h48~60h72h。1.3ELISAIL-4IFN-γ。BL。0.1gPBS10~108BL48h。。1.4SPSS15.0α=0.05tMann-WhitneyUIL-4IFN-γt。22.1。。24~36h213%211%P>0.05960%1267%P>0.051。36h。。2.2IL-4IFN-γELISAIL-4IFN-γIL-4P<0.05IL-4IFN-γP=0.654IL-4/IFN-γP<0.05。3。〔2〕。TH1/TH2TH1TH2。TH1/TH2。Th2IL-4BIgEIL-4BIgEIgE。IL-4IL-5、IL-6、IL-13BFcR-ImRNAIgE。IL-4CD23IgE。IL-4BTIL-4。IgEIL-4IL-4IFN-γIL-4/IFN-γIgE〔3〕。TH1、TH2。40〔45〕、〔6〕〔7〕。、TIL-10TGF-β〔89〕。TH1Th2。〔10〕。〔11〕。Krause。IL-4IFN-γIL-4TH1TH2TH1/TH2。。41.〔M〕.·429·2012272003822MarksGB.Environmentalfactorsandgene-environmentinteractionsintheaetiologyofasthma〔J〕.CliniExpPhrmacolPhysiol20063332853PengTHaoLMadriJAetal.RoleofC5inthedevelopmentofair-wayinflammationairwayhyperresponsivenessandongoingairwayre-sponse〔J〕.JClinInvest200511515904FernandezMFBorisSBarbesC.Probioticpropertiesofhumanlacto-bacillistrainstobeusedinthegastrointestinaltract〔J〕.JApplMicro-biol20039434495AnnukHShchepetovaJKullisaarEetal.Characterizationofintesti-nallactobacilliasputativeprobioticcandidates〔J〕.JApplMicrobiol20039434036PrakashSJonesLM.ArtificialcelltherapyNewstrategiesforthethera-peuticdeliveryoflivebacteria〔J〕.JBiomedBiotechnol20052005447SudoNYuXNAibaYetal.Anoralintroductionofintestinalbacte-riapreventsthedevelopmentofalong-termTh2-skewedimmunologi-calmemoryinducedbyneonatalantibiotictreatmentinmice〔J〕.ClinExpAllergy20023211128SistekDKellyRWickensKetal.Istheeffectofprobioticsonatopicdermatitisconfinedtofoodsensitizedchildren〔J〕.ClinExpAllergy20063656299LinHCSuBHChenACetal.Oralprobioticsreducetheincidenceandseverityofnecrotizingenterocolitisinverylowbirthweightinfants〔J〕.Pediatrics20051151110.〔J〕.20061412111.〔J〕.2007134632009-02-16〔〕200233R714.22+1B1001-4411201206-0925-03【】、、。110A、B。An=68。Bn=42。3~4HSG1~2。A85.29%B66.67%P<0.05A86.76%B71.43%P<0.05A83.82%B57.43%P<0.01A1.47%B2.38%。。【】Valueofearlyhydrotubationforthepatientswithtubalpregnancyafterlaparoscop-icconservativesurgeryMALiLIMingLULi-Hua.DepartmentofGynecologyandObstetricstheSixthPeople'sHospitalAffiliatedtoShang-haiJiaotongUniversityShanghai200233China〔Abstract〕ObjectiveToexploretheeffectofearlyhydrotubationafterlaparoscopicconservativesurgeryonpatencyrateoffallopi-antubesofaffectedsidepostoperativeintrauterinepregnancyrateandrecurrentectopicpregnancyrateamongthepatientswithtubalpreg-nancy.MethodsOnehundredandtenpatientswithtubalpregnancywhohadbirthdemandandreceivedlaparoscopicconservativesurgerywereselectedanddividedintogroupAandgroupBrandomly.Sixty-eightpatientsingroupAweretreatedwithhydrotubationafterthefirstmenstruation.Forty-twopatientsingroupBdidn'treceivehydrotubationafterthefirstmenstruation.Allthepatientsreceivedhysterosalpin-gographyat3-4monthsafteroperationthesecondarypregnancysituationswerefollowedupat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