血液透析患者血清 IL-6与急性时相反应的关系研究

李 新 彭立人

中国血液净化 ›› 2004, Vol. 3 ›› Issue (7) : 371-373.

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PDF(2567 KB)
中国血液净化 ›› 2004, Vol. 3 ›› Issue (7) : 371-373.
论著

血液透析患者血清 IL-6与急性时相反应的关系研究

  • 李 新 彭立人
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摘要

目的 探讨血清白细胞介素-6(IL-6)水平与维持性血液透析患者急性时相反应的关系。方法 无临床炎症反应的维持性血液透析患者63例,以透射比浊法测定超敏 C反应蛋白(hs-CRP),以速率散射比浊法测定急性时相蛋白(Acut Phase Proteins, APPs)铜蓝蛋白(CER) 和α1酸性糖蛋白(AAG)。hs-CRP>10mg/L的20例为观察组,hs-CRP < 10mg/L 的20例为对照组;血液透析前采血,以RIA法测血清IL-6水平。结果 观察组IL-6水平明显高于对照组,差异有显著性(P<0.05), IL-6 水平与 CRP、CER、AAG 呈正相关(r 值分别为 0.67、0.72、0.59、P<0.01)。结论 维持性血液透析患者血清 IL-6水平与急性时相反应的程度呈正相关,可以作为这类患者急性时相反应的检测指标之一。

Abstract

Objective To evaluate the relationship between IL-6 and the acute phase response (APR) in hemodialysis patients. Methods High sensitive C-reactive protein (hs-CRP), Ceruloplasmin (CER) and a1-AG (AAG) concentration were measured in 63 hemodialysis patiens who had no obvious inflammation. At the same time, serum IL-6 were measured. Results IL-6, CER and AAG concentration were significantly higher in patients with hs-CRP higher than 10mg/L ( P < 0.05). In a line regression analysis, significant association was observed between IL-6 concentration and acute phase proteins' (hs-CRP, CER and AAG) concentration. Conclusion Sruem IL-6 is associated with sruem acute phase proteins (hs-CRP, CER and AAG).

关键词

白细胞介素6 / 急性时相反应 / 血液透析

Key words

Acute phase response (APR) / Hemodialysis

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李 新 彭立人. 血液透析患者血清 IL-6与急性时相反应的关系研究[J]. 中国血液净化. 2004, 3(7): 371-373
中图分类号: R446.6   

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