摘要
[目的]通过分析慢性乙肝患者血清中IL-33和sST2的表达情况及其与患者AST的相关性,探讨其在患者预后中的预测价值。[方法]选取2015年10月~2016年12月我院收治的慢性HBV患者100例及同时期门诊健康体检者30例纳入研究对象,收集慢性乙肝患者的临床资料,检测血清IL-33、sST2、AST的浓度,分析IL-33、sST2与AST之间的关系。[结果]100例慢性乙肝患者作为实验组分为AST1~3ULN、AST>3~5ULN、AST>5~8ULN、AST>8ULN4组。对照组患者血清IL-33和sST2浓度分别为(15.32±5.61)pg/ml、(0.11±0.04)μg/ml,与AST1~3ULN组血清IL-33浓度(12.63±7.38)pg/ml及sST2浓度(0.09±0.03)μg/ml比较差异均无统计学意义(P>0.05);但其均显著低于AST>3~5ULN组IL-33浓度(31.27±18.33)pg/ml及sST2浓度(0.34±0.11)μg/ml、AST>5~8ULN组IL-33浓度(66.81±28.62)pg/ml及sST2浓度(0.98±0.33)μg/ml、AST>8ULN组IL-33浓度(155.79±51.27)pg/ml及sST2浓度(3.88±1.69)μg/ml,差异均有统计学意义(P<0.01);对照组患者血清AST浓度(17.16±4.89)U/L均显著低于实验组各分组,差异均有统计学差异(P<0.01)。慢性乙肝患者血清IL-33、sST2水平与AST水平呈正相关(rIL-33,AST=0.572,rsST2,AST=0.451,P<0.05);所有研究对象血清IL-33、sST2水平与AST水平也呈正相关(rIL-33,AST=0.469,rsST2,AST=0.433,P<0.05)。[结论]IL-33、sST2某种条件下可反映肝脏的炎症程度,可作为慢性乙型病毒性肝炎肝脏损伤的标志之一,可以指导患者抗病毒治疗方法的选择并用以评价其治疗效果。
[Objective]To investigate the predictive value in the prognosis of patients with chronic hepatitis B by analyzing the serum expressions of IL-33 and sST2 and its correlation with the AST levels.[Methods]100 cases with chronic HBV and 30 healthy subjects at the same time from October 2015 to December 2016 year in our hospital outpatient service were enrolled in the study.The clinical data of patients with chronic hepatitis B were collected.To detect the relationship between the serum IL-33,sST2,AST,and to analyze the relationship between IL-33,sST2 and AST.[Results]100 cases of chronic hepatitis B patients as the experimental group were divided into AST1~3 ULN,AST3~5 ULN,AST5~8 ULN,AST8 ULN four groups.The serum IL-33 and sST2 concentrations of control group were（15.32±5.61）pg/ml and（0.11±0.04）g/ml,and those were no statistically significant difference with AST1~ 3 ULN group serum IL-33 concentration（12.63±7.38）pg/ml and the concentration of sST2（0.09±0.03）g/ml（P〈0.05）.The serum IL-33 and sST2 concentrations of control group were significantly lower than those in the AST3~5 ULN group[IL-33（31.27±18.33）pg/ml and sST2（0.34±0.11）g/ml]and AST5~8ULN group[IL-33（66.81±28.62）pg/ml and sST2（0.98±0.33）g/ml]and AST8 ULN group[IL-33（155.79±51.27）pg/ml and sST2（3.88±1.69）g/ml],there were all statistically significant difference（P〈0.01）.The serum concentration of AST in the control group（17.16±4.89）U/L were significantly lower than that in the all experimental group,there were statistically significant difference（P〈0.01）.There were positive relationship betwee serum IL-33,sST2 level and AST level in Chronic hepatitis B patients（rIL-33,AST=0.572,rsST2,AST=0.451,P〈0.05）.The serum IL-33,sST2 level and AST level were positively correlated in all subjects（rIL-33,AST=0.469,rsST2,AST=0.433,P〈0.05）.[Conclusion]The levels of IL-33 and sST2 can reflect the degree of liver inflammation under some conditions,which can be used as one of the signs of liver injury in chronic hepatitis B and the selection of antiviral treatment methods can be directed to evaluate the effectiveness of the treatment.
作者
郑绍同
王书中
杨士军
潘峰
付启云
ZHENG Shao-tong WANG Shu-zhong YANG Shi-jun PAN Feng FU Qi-yun(Department of Clinical laboratory,Huai＇an First People＇s Hospital,Nanjing Medical Universit Department of Gastroenterology,the First Affiliated Hospitalof Nanjing Medical Universit)
出处
《中国中西医结合消化杂志》
CAS
2017年第9期666-670,共5页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
