Ahmet GÜREL, Mustafa Metin DONMA, Burçin NALBANTOĞLU, Birol TOPÇU, Zeynep Deniz YILDIZ, Feti TÜLÜBAŞ

Astımlı Çocuklarda Tedavi Sonrası Total IgE, CRP ve Tam Kan Sayım Parametrelerinin Değerlendirilmesi

Amaç: Bu çalışmada, astım tanısı alan 2-18 yaş arası çocuklara uygulanan inhale kortikosteroidve inhale beta 2 agonist tedavisinin serum total IgE, CRP ve tam kan sayım düzeylerindeiyileşme sağlayıp sağlamadığını ve/veya iyileşmenin derecesini sağlıklı çocukların düzeyleriile karşılaştırarak tedavinin etkisini araştırmayı amaçladık.Gereç ve Yöntem: Namık Kemal Üniversitesi Uygulama ve Araştırma Hastanesi çocuk sağlığıve hastalıkları polikliniğine müracaat eden 2-18 yaş arası astım tanısı almış ve inhalekortikosteroid ve inhale beta 2 agonist tedavisi görmüş 99 çocuğun tedavi öncesi ve tedavisonrası serum total IgE, CRP ve hemogram düzeyleri ile kontrol grubunu oluşturan 99 sağlıklıçocuğun serum total IgE, CRP ve hemogram düzeyleri ve demografik bilgileri dosya taramasıile elde edildi.Bulgular: Astımlı çocuklarda serum total IgE düzeyleri, lenfosit, eozinofil ve bazofil sayılarıve yüzdeleri sağlıklı kontrollere göre anlamlı olarak artarken tedavi sonrasında sağlıklıkontrollerin seviyesine gerileyerek anlamlı bir azalma göstermiştir. Serum CRP düzeyleri ilenötrofil sayısı ve yüzdeleri astımlı çocuklarda sağlıklı kontrollere göre anlamlı olarak azalırkentedavi sonrasında anlamlı artış meydan gelmiştir.Sonuç: Sonuç olarak astımlı çocuklara uygulanan inhale steroid ve beta 2 antagonist tedavisi,gösterdiği anti-inflamatuar etki sonucunda inflamasyonu azaltarak total IgE, CRP ve bazı tamkan sayım parametrelerinde iyileşme sağlamıştır

Anahtar Kelimeler:

Astım, IgE, CRP, hemogram

A Post-Treatment Evaluation of Total IgE, CRP and Blood Count Parameters of Children With Asthma

Objective: We aimed to study if inhaled corticosteroid and inhaled beta 2 agonist treatment to2-18 years old children with asthma resulted in recovery in serum total IgE, CRP, and wholeblood count levels and/or to evaluate the effect of treatment in comparison to healthy children.Methods: Data regarding pre and post treatment serum total IgE, CRP, and hemogram levelsof 2-18 years old, 99 children with asthma, who received inhaled corticosteroid and inhaledbeta 2 agonist treatment and who applied to Namık Kemal University Research and PracticeHospital Pediatrics Clinic, were obtained through file scanning. Data regarding demographicsand serum total IgE, CRP and hemogram levels of 99 healthy children in control group werealso obtained through file scanning.Results: In children with asthma, levels of serum total IgE, lymphocyte, eosinophil and basophilcounts and percentages were significantly increased compared to healthy controls, and theywere significantly decreased after treatment to the levels of healthy controls. Serum CRP levels,neutrophil counts and percentages were significantly decreased compared to healthy controls,and they were significantly increased after treatment.Conclusions: Inhaled steroid and beta 2 antagonist treatment to children with asthma resultedin recovery in levels of IgE, CRP, and some whole blood count parameters through decreasinginflammation with its anti-inflammatory effect

Keywords:

Asthma, IgE, CRP, hemogram,

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