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作 者:张景洪[1]
机构地区:[1]山东省胸科医院,济南250013
出 处:《中国实用医刊》2012年第10期27-28,共2页Chinese Journal of Practical Medicine
摘 要:目的探讨检测慢性阻塞性肺疾病(COPD)患者血清中干扰素-γ(IFN-γ)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和肿瘤坏死因子-α(TNF-α)的水平变化及意义。方法选择100例COPD患者作为研究对象,其中急性加重期50例,稳定期50例,另外选择30例健康体检者作为正常对照组,采用酶联免疫法分别检测血清中IFN-γ、IL-6、IL-8和TNF-α的水平。结果COPD急性加重期和缓解期患者血清IFN-γ、IL-6、IL-8和TNF—α的水平明显高于健康对照组(P〈0.05),COPD急性加重期IFN-γ、IL-6、IL-8和TNF—α的水平明显高于缓解期患者(P〈0.05)。结论IFN-、IL-6、IL-8和TNF—α是COPD的病理生理过程中重要的炎性介质,在COPD的发生及发展过程中可能起重要作用。检测IFN-γ、IL-6、IL-8和TNF-α有助于COPD患者病情及预后的判断。Objective To investigate the changes and clinical significance of serum levels of in- terferon-γ( IFN-γ), interleukin-6 ( IL-6), IL-8 and tumor necrosis factor-α ( TNF-α ) in patients with chronic obstructive pulmonary disease (COPD). Methods The serum was sampled and prepared from 100 cases of COPD(exacerbation group 50 cases, remission group 50 cases)patients and 30 healthy per- sons. The serum levels of IFN-γ, IL-6, IL-8 and TNF-α were detected by ELISA. Results Serum lev- els of IFN-γ, IL-6, IL-8 and TNF-α in the cases of COPD with stable stage and the period of AECOPD were higher than those in the healthy cases (P 〈 0. 05). Serum levels of IFN-γ, IL-6, IL-8 and TNF-α in the period of AECOPD were higher than those in the cases of COPD with stable stage (P 〈 0. 05 ). Conclusions IFN-γ, IL-6, IL-8 and TNF-αparticipated in the pathogenesis of COP]). Monitoring the changes of their serum levels is helpful for the management of the disease, and probably can be a prog- nostic factor of COPD.
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