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肺结核患者血清脯氨酸肽酶活性。

Serum prolidase activity in patients with pulmonary tuberculosis.

机构信息

Department of Pulmonary Medicine, Gulhane Military Medical Academy, Ankara, Turkey.

出版信息

Scand J Clin Lab Invest. 2011 Oct;71(6):467-72. doi: 10.3109/00365513.2011.587021. Epub 2011 Jul 4.

Abstract

AIM

To investigate serum prolidase activity (SPA) in patients with pulmonary tuberculosis (PTB).

MATERIAL AND METHODS

Twenty-nine PTB patients and 32 controls were included in the study. PTB patients (cavitary and non-cavitary) and controls were compared in terms of mean SPA. Correlations were evaluated between SPA and acute phase reactants.

RESULTS

Mean SPA was significantly higher in PTB patients than in the control group. Mean SPA was significantly higher in patients with cavitary TB than non-cavitary TB. Mean SPA in patients with mild PTB was lower than patients with moderate and severe disease. We found significant correlations between SPA and CRP, ESR, albumin, platelet counts, HDL-cholesterol and LDH activity.

CONCLUSION

This study has shown that PTB patients have higher SPA than controls. The increase in SPA might be related to tissue destruction, increased immunoglobulin, complement levels and increased fibroblastic activity; all of which are involved in the natural history of PTB.

摘要

目的

研究肺结核(PTB)患者血清脯氨酸肽酶(SPA)活性。

材料和方法

研究纳入了 29 例肺结核患者和 32 名对照者。比较了空洞型和非空洞型肺结核患者与对照组之间 SPA 的平均值。评估 SPA 与急性期反应物之间的相关性。

结果

肺结核患者 SPA 平均值显著高于对照组。空洞型肺结核患者 SPA 平均值显著高于非空洞型肺结核患者。轻度肺结核患者 SPA 平均值低于中度和重度肺结核患者。我们发现 SPA 与 CRP、ESR、白蛋白、血小板计数、HDL-胆固醇和 LDH 活性之间存在显著相关性。

结论

本研究表明,肺结核患者 SPA 高于对照组。SPA 的增加可能与组织破坏、免疫球蛋白、补体水平升高和成纤维细胞活性增加有关;所有这些都与肺结核的自然病程有关。

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