非霍奇金淋巴瘤患者血清CRP、PCT和IL-6水平变化及与预后的关系
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四川大学华西医院横向课题


Changes of serum CRP, PCT and IL-6 levels in patients with non-Hodgkin's lymphoma and their relationship with prognosis
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    摘要:

    目的 探讨非霍奇金淋巴瘤(NHL)患者血清C反应蛋白(CRP)、降钙素原(PCT)和白细胞介素-6(IL-6)水平变化及与预后的关系。 方法 选取我院2019年1月~2020年6月93例NHL患者作为研究组,根据1年内生存情〖JP2〗况分为生存组(n=74)和死亡组(n=19),另取同期50例健康体检者作为对照组。检测并比较各组血清CRP、PCT及IL-6〖JP〗水平,分析不同病理学特征NHL患者血清CRP、PCT及IL-6水平,采用受试者工作曲线(ROC)分析血清CRP、PCT及IL-6水平与NHL患者预后的关系。 结果 研究组血清CRP、PCT及IL-6水平均高于对照组(P<0.05);血清CRP、PCT及IL-6水平与NHL患者Ann Arbor分期、病理类型、肿块大小、分化程度有关(P<0.05);死亡组血清CRP、PCT及IL-6水平均高于生存组(P<0.05)。由ROC曲线,血清CRP、PCT及IL-6联合评估NHL患者预后的AUC为0.910,高于三者单独评估的0.739、0.702、0.720(P<0.05)。 结论 NHL患者血清CRP、PCT及IL-6水平呈升高趋势,血清CRP、PCT及IL-6水平受Ann Arbor分期、病理类型、肿块大小、分化程度影响,三者有望成为评估NHL预后的指标。

    Abstract:

    Objective To explore the changes of serum C-reactive protein (CRP), procalcitonin (PCT) and interleukin-6 (IL-6) levels in patients with non-Hodgkin's lymphoma (NHL) and their relationship with prognosis. Methods A total of 93 patients with NHL in the hospital were enrolled as study group between January 2019 and June 2020. According to survival situations within 1 year, they were divided into survival group (n=74) and death group (n=19). And other 50 healthy controls during the same period were enrolled as control group. The levels of serum CRP, PCT and IL-6 were detected and compared among all groups. The above three indexes in NHL patients with different pathological characteristics were analyzed. The relationship between serum CRP, PCT, IL-6 levels and prognosis of NHL patients was analyzed by receiver operating characteristic (ROC) curves. Results The levels of serum CRP, PCT and IL-6 in study group were higher than those in control group (P<0.05). The levels of serum CRP, PCT and IL-6 were related to Ann Arbor staging, pathological types, tumor size and differentiation degree (P<0.05). The levels of serum CRP, PCT and IL-6 in death group were higher than those in survival group (P<0.05). ROC curves analysis showed that AUC of serum CRP combined with PCT and IL-6 for assessing prognosis of NHL patients was 0.910,greater than that of them alone (0.739, 0.702, 0.720) (P<0.05). Conclusion The levels of serum CRP, PCT and IL-6 are higher in NHL patients, which are affected by Ann Arbor staging, pathological types, tumor size and differentiation degree. The three are expected to be the indexes to assess the prognosis of NHL.

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  • 在线发布日期: 2022-10-20
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