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贝尔麻痹患者的一种重要生物标志物:血清钙卫蛋白。

An Important Biomarker in Patients with Bell's Palsy: Serum Calprotectin.

作者信息

Türker Cihan, Emre Elif, Aydın Süleyman, Dalgıç Mustafa, Baklacı Deniz

机构信息

Department of Otolaryngology, Private Medical Hospital, Elazig 23040, Turkey.

Department of Anatomy, Firat University Faculty of Medicine, Elazig 23200, Turkey.

出版信息

Medicina (Kaunas). 2025 Apr 18;61(4):747. doi: 10.3390/medicina61040747.

DOI:10.3390/medicina61040747
PMID:40283038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12028402/
Abstract

: This study aimed to examine the relationship between serum calprotectin levels and facial paralysis in patients with Bell's palsy and to determine its prognostic significance. : This study included 40 patients diagnosed with Bell's palsy and 20 healthy individuals as controls. The patients were categorized into three groups based on their response to treatment: complete response, partial response, and no response. Blood samples were taken before treatment and in the third month after treatment to measure C-reactive protein, white blood cell count, lymphocyte count, neutrophil count, neutrophil-to-lymphocyte ratio, and calprotectin levels. : Serum calprotectin levels were found to be elevated in patients with BP compared to the healthy controls; however, no significant correlation was observed between calprotectin levels and disease prognosis. : The findings suggest that Bell's palsy patients have elevated serum calprotectin levels compared to healthy individuals, indicating the potential use of calprotectin as a biomarker in Bell's palsy. However, no significant difference in calprotectin levels was observed between patients with varying degrees of treatment response, suggesting that calprotectin may be limited in predicting disease prognosis.

摘要

本研究旨在探讨贝尔麻痹患者血清钙卫蛋白水平与面瘫之间的关系,并确定其预后意义。本研究纳入了40例诊断为贝尔麻痹的患者和20例健康个体作为对照。根据患者对治疗的反应将其分为三组:完全缓解、部分缓解和无反应。在治疗前和治疗后第三个月采集血样,以测量C反应蛋白、白细胞计数、淋巴细胞计数、中性粒细胞计数、中性粒细胞与淋巴细胞比值以及钙卫蛋白水平。与健康对照相比,贝尔麻痹患者的血清钙卫蛋白水平升高;然而,未观察到钙卫蛋白水平与疾病预后之间存在显著相关性。研究结果表明,与健康个体相比,贝尔麻痹患者的血清钙卫蛋白水平升高,这表明钙卫蛋白有可能作为贝尔麻痹的生物标志物。然而,不同治疗反应程度的患者之间钙卫蛋白水平未观察到显著差异,这表明钙卫蛋白在预测疾病预后方面可能存在局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb6/12028402/a4a6d63530b8/medicina-61-00747-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb6/12028402/a4a6d63530b8/medicina-61-00747-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb6/12028402/a4a6d63530b8/medicina-61-00747-g001.jpg

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本文引用的文献

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Bell's Palsy: A Review.贝尔麻痹:综述
Cureus. 2022 Oct 11;14(10):e30186. doi: 10.7759/cureus.30186. eCollection 2022 Oct.
2
Role of Biomarkers as Prognostic Factors in Acute Peripheral Facial Palsy.生物标志物在急性周围性面瘫中的预后作用。
Int J Mol Sci. 2021 Dec 28;23(1):307. doi: 10.3390/ijms23010307.
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Hematological Findings in Patients with Acute Peripheral Facial Palsy.急性周围性面瘫患者的血液学检查结果。
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Elevated serum calprotectin as an inflammatory marker in obstructive sleep apnea.血清钙卫蛋白升高作为阻塞性睡眠呼吸暂停的一种炎症标志物
Cranio. 2023 Mar;41(2):160-166. doi: 10.1080/08869634.2020.1839721. Epub 2020 Oct 21.
5
A proinflammatory marker in chronic rhinosinusitis: serum calprotectin.慢性鼻-鼻窦炎的促炎标志物:血清钙卫蛋白。
Acta Biochim Pol. 2020 Aug 31;67(3):367-371. doi: 10.18388/abp.2020_5204.
6
A Prognostic Marker in Idiopathic Sudden Sensorineural Hearing Loss: Serum Calprotectin.特发性突发性感音神经性听力损失的一个预后标志物:血清钙卫蛋白。
Clin Exp Otorhinolaryngol. 2020 Feb;13(1):36-40. doi: 10.21053/ceo.2019.00283. Epub 2019 Jul 26.
7
Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as Prognostic Hematologic Markers of Bell's Palsy: A Meta-analysis.中性粒细胞与淋巴细胞比值及血小板与淋巴细胞比值作为贝尔面瘫预后的血液学标志物:一项荟萃分析。
Otol Neurotol. 2019 Jun;40(5):681-687. doi: 10.1097/MAO.0000000000002166.
8
The etiology of Bell's palsy: a review.贝尔面瘫的病因:综述
J Neurol. 2020 Jul;267(7):1896-1905. doi: 10.1007/s00415-019-09282-4. Epub 2019 Mar 28.
9
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Clin Otolaryngol. 2017 Dec;42(6):1224-1228. doi: 10.1111/coa.12853. Epub 2017 Mar 12.
10
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