肺结核患者血清白细胞介素12水平检测及临床意义
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王莉

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R521

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Detection and clinical significance of serum interleukin12 levels in pulmonary tuberculosis patients
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    摘要:

    目的了解白细胞介素(IL)12在肺结核病中的临床意义。方法对80例抗结核治疗前肺结核患者血清IL12,采用酶联免疫法进行检测,并与30例健康志愿者(健康对照组)、20例有效抗结核治疗随访6个月后的患者进行对比,同时依据临床常用结核检测指标分组研究IL12的临床意义。结果80例肺结核患者血清IL12均值为(41.49±34.22)pg/mL,显著低于健康对照组(58.12±44.92)pg/mL,差异有统计学意义(t=2.51,P<0.05)。20例随访肺结核患者经6个月有效抗结核治疗后,血清IL12水平由治疗前的(12.93±12.48)pg/mL上升为(66.26±20.97)pg/mL,差异有统计学意义(t=-6.88,P<0.05)。20例随访肺结核患者经6个月有效抗结核治疗后,血清IL12水平与健康对照组比较,差异无统计学意义(t=-0.60,P>0.05)。肺结核患者血清IL12水平在不同分组中:单纯肺结核/肺结核合并结核性胸膜炎组、空洞组/非空洞组、肺CT病变累及<3叶组/≥3叶组、痰结核菌阳性组/阴性组、结核试验阳性组/阴性组、血沉升高组/正常组、PPD强阳性组/非强阳性组,差异均无统计学意义(均P>0.05)。结论IL12与肺结核活动性密切相关,其水平可作为临床工作中了解患者免疫状态,判断肺结核活动性和病情转归的临床参考指标。

    Abstract:

    ObjectiveTo understand the clinical significance of interleukin12(IL12) in pulmonary tuberculosis (TB).MethodsSerum IL12 in 80 TB patients before receiving antiTB treatment were detected by enzymelinked immunosorbent assay, and were compared with 30 healthy volunteers (healthy control) and 20 patients with 6month followup after effective antiTB treatment, significance of IL12 was studied in patients who were subdivided into several groups according to common clinical indicators of TB.ResultsThe average serum IL12 level in 80 pulmomary TB patients was (41.49±34.22)pg/mL, which was significantly lower than (58.12±44.92)pg/mL in healthy control group(t=2.51,P<0.05). Serum IL12 level in 20 followedup patients increased from (12.93±12.48)pg/mL before treatment to (66.26±20.97)pg/mL after treatment (t=-6.88,P<0.05). There was no significant difference in serum IL12 level between 20 followedup patients and healthy control group(t=-0.60,P>0.05).There was no statistical difference in serum IL12 level between the following groups respectively: simple pulmonary TB/pulmonary TB associated with tuberculous pleurisy, pulmonary cavity/nonpulmonary cavity, lung lesions showed by CT <3 lobes/≥ 3 lobes, sputum TB positive/negative, tuberculin test positive/negative, elevated erythrocyte sedimentation rate (ESR)/ normal ESR, PPD strongly positive/ nonstrongly positive (all P>0.05).ConclusionIL12 level is closely related with activity in pulmonary TB, it can reflect the immune state in patients, and judge activity and prognosis of pulmonary TB.

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引用本文

奚莹,王莉.肺结核患者血清白细胞介素12水平检测及临床意义[J]. 中国感染控制杂志,2012,11(2):109-111.
XI Ying, WANG Li. Detection and clinical significance of serum interleukin12 levels in pulmonary tuberculosis patients[J]. Chin J Infect Control, 2012,11(2):109-111.

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  • 收稿日期:2011-08-28
  • 最后修改日期:2011-11-02
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  • 在线发布日期: 2012-03-31
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