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新生儿坏死性小肠结肠炎血清中Fib、IL-12的表达及其与临床病理特征的相关性

Expressions of Fib, IL-12 in Serum of Neonatal Necrotizing Enterocolitis and Their Correlation with Clinicopathological Features.

作者信息

Yin Yiyu, Wu Xiaole, Zou Huaxin, Li Shixian, Qin Zhenfang, Zhang Tengfei, Cao Junhua

机构信息

Department of General Surgery, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou 221006, P.R. China.

Department of Anesthesiology, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou 221006, P.R. China.

出版信息

Iran J Public Health. 2020 Aug;49(8):1439-1446. doi: 10.18502/ijph.v49i8.3874.

Abstract

BACKGROUND

To investigate the expressions of fibrinogen (Fib) and Interleukin-12 (IL-12) in serum of neonatal necrotizing enterocolitis (NEC), and to analyze the correlation between the two and their relationship with clinicopathological features.

METHODS

Forty two children with NEC treated in Xuzhou Children's Hospital, Xuzhou Medical University Xuzhou, China from 2016-2019 were selected as an observation group and 40 children who underwent physical examination at the same period as a control group. The expression levels of Fib and IL-12 in the serum of two groups were detected by ELISA. The correlation between Fib and IL-12 in the observation group and the correlation among the expressions of Fib, IL-12, the clinicopathological features and common examination indexes of the children with NEC were investigated by Pearson correlation analysis.

RESULTS

The levels of Fib and IL-12 in the serum of the children in observation group were significantly higher than those in the control group were (<0.05). There was a significant positive correlation between the levels of Fib and IL-12 in the serum of the children in observation group (<0.05). The expression levels of Fib, IL-12 were not significantly correlated with sex and age of NEC children, but correlated with vomiting, diarrhea, bloody stool and bradycardia in NEC children (<0.05). Fib and IL-12 were positively correlated with erythrocyte level (<0.05) and negatively correlated with platelet level.

CONCLUSION

The expressions of Fib and IL-12 in the serum of NEC children can objectively predict the severity of NEC.

摘要

背景

探讨新生儿坏死性小肠结肠炎(NEC)患儿血清中纤维蛋白原(Fib)和白细胞介素-12(IL-12)的表达情况,并分析两者之间的相关性及其与临床病理特征的关系。

方法

选取2016年至2019年在徐州医科大学附属徐州儿童医院治疗的42例NEC患儿作为观察组,同期40例体检儿童作为对照组。采用酶联免疫吸附测定法(ELISA)检测两组患儿血清中Fib和IL-12的表达水平。通过Pearson相关性分析研究观察组中Fib与IL-12之间的相关性,以及NEC患儿Fib、IL-12表达与临床病理特征及常见检查指标之间的相关性。

结果

观察组患儿血清中Fib和IL-12水平显著高于对照组(P<0.05)。观察组患儿血清中Fib与IL-12水平呈显著正相关(P<0.05)。NEC患儿Fib、IL-12的表达水平与患儿性别、年龄无显著相关性,但与NEC患儿呕吐、腹泻、便血及心动过缓有关(P<0.05)。Fib和IL-12与红细胞水平呈正相关(P<0.05),与血小板水平呈负相关。

结论

NEC患儿血清中Fib和IL-12的表达可客观预测NEC的严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef18/7554385/0ff304df199b/IJPH-49-1439-g001.jpg

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