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临床应用氧化应激和 IL-6 分析作为糖尿病多发性神经病的促进因素。

Clinical use of an analysis of oxidative stress and IL-6 as the promoters of diabetic polyneuropathy.

机构信息

Faculty of Pharmacy, University of Tuzla, Tuzla, Bosnia and Herzegovina.

General Hospital, Tešanj, Bosnia and Herzegovina.

出版信息

Med Glas (Zenica). 2021 Feb 1;18(1):12-17. doi: 10.17392/1279-21.

Abstract

Aim To investigate interleukin 6 (IL-6) values depending on duration of diabetes mellitus (DM) and evaluate possible correlation with diabetic polyneuropathy. Methods The research study included 90 patients with DM divided into three groups (30 patients each) according to the duration of DM: group A - patients who had DM for less than 10 years, group B - duration of DM was 10 to 20 years, and group C - patients with DM over 20 years. Control group (K) included 30 healthy participants. Results IL-6 was significantly higher in the healthy control group, 180.318 pg/mL±94.18, than in group A, 47.23pg/ml±34.8, group B, 43.31pg/ml±33.17, and group C, 70.39 pg/ml±59.26 (p=0.0001). All groups had significantly different values of IL-6 between each other (p=0.0001). Level of IL-6 was in correlation with diabetic polyneuropathy in the group A (the youngest participants) (p=0.0001). In other groups there was no significant correlation between IL-6 and diabetic polyneuropathy. Conclusion The level of IL-6 was in correlation with neuropathy among younger patients. A higher level of IL-6 in the control group than in diabetic groups is a sign of stronger inflammatory response among younger and healthy people than in patients with DM.

摘要

目的

研究白细胞介素 6(IL-6)值随糖尿病(DM)病程的变化,并评估其与糖尿病多发性神经病的相关性。方法:研究纳入 90 例 DM 患者,根据 DM 病程分为三组(每组 30 例):A 组患者 DM 病程<10 年,B 组病程为 10-20 年,C 组病程>20 年。对照组(K)包括 30 名健康参与者。结果:健康对照组 IL-6 水平显著高于 A 组(47.23pg/ml±34.8)、B 组(43.31pg/ml±33.17)和 C 组(70.39pg/ml±59.26)(p=0.0001)。所有组之间的 IL-6 值均有显著差异(p=0.0001)。A 组(年龄最小的患者)的 IL-6 水平与糖尿病多发性神经病相关(p=0.0001)。其他组中,IL-6 与糖尿病多发性神经病之间无显著相关性。结论:IL-6 水平与年轻患者的神经病变相关。对照组中 IL-6 水平高于糖尿病组,提示健康年轻人群的炎症反应强于糖尿病患者。

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