Li Jie, Kong Xinyi, Shu Wei, Zhang Wei
Jie Li, MD. Medical School of Nanchang University, Nanchang, China, Department of Internal Medicine, Jiangxi Provincial Chest Hospital.
Xinyi Kong, MSc. Department of Internal Medicine, The Second Affiliated Hospital of Nanchang University, China.
Pak J Med Sci. 2018 Sep-Oct;34(5):1172-1176. doi: 10.12669/pjms.345.15145.
The aim of the present study was to investigate the association between serum neuron-specific enolase (sNSE) levels and gender, age, body mass index (BMI) in patients with chronic obstructive pulmonary disease (COPD).
This case-control study was carried out among 182 participants in Jiangxi Provincial chest hospital, Nanchang, China, in 2017. One hundred and two patients diagnosed with COPD based on the Global Initiative for Chronic Obstructive Lung Disease (GOLD) grading classification and 80 Non-COPD participants were recruited. Multivariate logistic regression analysis was employed to examine whether or not sNSE and other indicators were independently associated with COPD.
Serum NSE levels were not significantly different between the two groups (P=0.08). Whereas in COPD sub-groups, the levels of sNSE increased parallelly in a GOLD stage-dependent manner. There was a positive correlation between PH, P, pack-years, FEV and the presence of COPD, but there was no significant correlation between sNSE, P and the presence of COPD.
Serum NSE gradually increased with the severity of COPD and its change reflected changes in brain cells. PH, P, pack-years and forced expiratory volume in one second (FEV1), were independent risk factors for COPD patients.
本研究旨在探讨慢性阻塞性肺疾病(COPD)患者血清神经元特异性烯醇化酶(sNSE)水平与性别、年龄、体重指数(BMI)之间的关联。
2017年在中国南昌的江西省胸科医院对182名参与者进行了这项病例对照研究。招募了102名根据慢性阻塞性肺疾病全球倡议(GOLD)分级分类诊断为COPD的患者和80名非COPD参与者。采用多因素逻辑回归分析来检验sNSE和其他指标是否与COPD独立相关。
两组之间血清NSE水平无显著差异(P=0.08)。而在COPD亚组中,sNSE水平以依赖GOLD分期的方式平行升高。PH、P、吸烟包年数、第一秒用力呼气容积(FEV)与COPD的存在呈正相关,但sNSE、P与COPD的存在无显著相关性。
血清NSE随COPD严重程度逐渐升高,其变化反映了脑细胞的变化。PH、P、吸烟包年数和第一秒用力呼气量(FEV1)是COPD患者的独立危险因素。