社区获得性肺炎患者血清及支气管肺泡灌洗液中IL-6、IL-8和IL-10水平变化及其临床意义

    The levels of IL-6,IL-8 and IL-10 in serum and bronchoalveolar lavage fluid in patients with community-acquired pneumonia and its clinical significance

    • 摘要: 目的:探讨社区获得性肺炎(CAP)患者血清和支气管肺泡灌洗液(BALF)中炎症因子白细胞介素(IL)-6、IL-8和IL-10水平的变化及其临床意义。方法:选取CAP患者50例(CAP组), 入院第1天进行临床肺部感染评分, <6分者为轻症组, ≥6分者为重症组;选取同期10名健康志愿者为对照组。双抗体夹心酶联免疫吸附法测定CAP组入院第1天以及对照组血清和BALF中IL-6、IL-8、IL-10水平, 同法测定CAP组入院第7、30天血清中IL-6、IL-8和IL-10水平。结果:CAP组入院第1天血清和BALF中IL-6、IL-8、IL-10水平均高于对照组(P<0.05~P<0.01)。CAP重症组血清中IL-6、IL-10和BALF中IL-6、IL-8 、IL-10浓度均明显高于轻症组(P<0.01)。CAP组血清IL-6和IL-10水平均随病程呈下降趋势(P<0.01), 在入院第7天和第30 天均达到对照组水平(P>0.05);而CAP组血清中IL-8水平在入院第30天仍保持较高水平, 显著高于对照组(P<0.01)。结论:IL-6、IL-8和IL-10均参与了CAP患者局部和系统的炎症反应, BALF中IL-6、IL-8、IL-10和血清中IL-6、IL-10的水平可反映肺部感染的严重程度, 检测血清中IL-6、IL-8和IL-10对CAP早期诊断有一定的临床价值。

       

      Abstract: Objective:To explore the levels of IL-6, IL-8 and IL-10 in serum and bronchoalveolar lavage fluid(BALF) of patients with community-acquired pneumonia(CAP), and its clinical significance.Methods:The clinical pulmonary infection score of 50 patients with CAP were detected on the first day after admission.The patients with CPIS less than 6 and equal to or more than 6 were divided into the light group and severe group, respectively.Ten healthy people were set as the control group.The levels of IL-6, IL-8 and IL-10 in serum and BALF of the patients with CAP were determined by radioimmunoassay on the first day after admission.The levels of IL-6, IL-8 and IL-10 in serum of the patients with CAP were also measured on day 7 and 30 of admission.Results:The levels of IL-6, IL-8 and IL-10 in serum and BALF of CAP patients were significantly higher than those in control group on the first day after admission(P<0.05 to P<0.01).The levels of IL-6 and IL-10 in serum and levels of IL-6, IL-8, IL-10 in BALF in severe CAP group were significantly higher in light CAP patients(P<0.01).With the disease course prolonging, the levels of IL-6 and IL-10 decreased(P<0.01), which arrived at the level of the control group on day 7 and 30 of admission(P>0.05).The level of IL-8 in serum of CAP patients remained at a high level on day 30 of admission, which was significantly higher than that in control group(P<0.01).Conclusions:The IL-6, IL-8 and IL-10 were involved in the pathogenesis of community-acquired pneumonia.The levels of IL-6 and IL-10 in serum and levels of IL-6, IL-8 and IL-10 in BALF can reflect the severity of pulmonary infection.The detection of IL-6, IL-8 and IL-10 in serum has certain clinical value in the early diagnosis of CAP.

       

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