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Complex conservative treatment of chronic tonsillitis in children using local immunostimulation (autologous mononuclear cells)

机译:局部免疫刺激患儿慢性扁桃体炎的复杂保守治疗(自体单核细胞)

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Introduction. The priority directions in pediatric otorhinolaryngology are development of diagnostic criteria in chronic tonsillitis in children and argumentation of complex conservative therapy tactics to preserve palatine tonsils as important organs in local and general immunity. Materials and methods. The study included 64 children with chronic tonsillitis who were divided into 2 groups: 32 children were applied standard treatment including local immunomodulatory therapy (group 1) and 32 children - only standard treatment (group 2). Results. After treatment, sensitivity of T lymphocytes to streptococcus antigens and total content of B lymphocytes decreased more pronouncedly in children of group 1. Indices of T lymphocyte functional activity were conclusively increased in children of group 1 compared to children of lot 2. Local immunostimulation reduces supranormal levels of proinflammatory cytokines TNF-α, IL-S and IL-1β and increase the low titers of anti-inflammatory cytokine IL-4. Conclusions. Local therapy with autologous mononuclear cells has a complex action upon the changes of immune reactivity state in children with chronic tonsillitis.
机译:介绍。儿科耳鼻喉科学中的优先方向是在儿童慢性扁桃体炎诊断标准和复杂保守治疗策略的论证中的诊断标准,以保护腭扁桃体作为当地和一般豁免的重要器官。材料和方法。该研究包括64名患有慢性扁桃体炎的儿童,分为2组:32名儿童被应用标准治疗,包括局部免疫调节治疗(第1组)和32名儿童 - 仅用于标准治疗(第2组)。结果。在治疗后,在组的儿童中,对链球菌对链球菌的敏感性和B淋巴细胞的总含量减少了1.T淋巴细胞功能活性的索引与批次的儿童相比,第1组的依am的依次增加。局部免疫刺激减少了Supranormal促炎细胞因子TNF-α,IL-S和IL-1β的水平,并增加抗炎细胞因子IL-4的低滴度。结论。具有自体单核细胞的局部治疗对慢性扁桃体炎儿童免疫反应性状态的变化具有复杂作用。

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