脓毒症病人血清中Prdx1和Prdx6水平变化及临床意义

    Change and clinical significance of the serum levels of Prdx1 and Prdx6 in sepsis patients

    • 摘要:
      目的探讨过氧化物酶(Prdx)1和Prdx6在脓毒症病人血清中表达水平和变化规律,以及其相关临床意义。
      方法选取脓毒症病人共55例,采用酶联免疫吸附法检测入组病人第1、3、5、7天静脉血Prdx1和Prdx6表达水平,并收集相应时间的体温、白细胞计数、血小板、丙氨酸氨基转移酶、肌酐、降钙素原、C反应蛋白、急性生理与慢性健康评分、序贯器官衰竭评分,以及病人一般资料(性别、年龄、原发病、感染部位、感染细菌、有无使用去甲肾上腺素或机械通气)。
      结果脓毒症休克病人血清中Prdx1水平高于脓毒症病人(P < 0.05),2组血清中Prdx6水平差异无统计学意义(P>0.05);APACHEⅡ评分≥15分组脓毒症病人血清中Prdx1水平明显高于 < 15分组(P < 0.01),而2组血清中Prdx6水平差异无统计学意义(P>0.05);第1、3、5和7天,存活组Prdx1水平随时间推移明显低于死亡组(P < 0.01),除第3天外,2组血清Prdx6水平随时间推移差异无统计学意义(P>0.05)。
      结论Prdx1和Prdx6在脓毒症病人血清中表达增高,两者可能成为脓毒症病人早期诊断和治疗的分子靶点。

       

      Abstract:
      ObjectiveTo investigate the changes of serum levels of Prdx1 and Prdx6 in sepsis patients and their clinical significance.
      MethodsThe serum levels of Prdx1 and Prdx6 in 55 patients with sepsis were determined by ELISA on the 1st, 3rd, 5th and 7th days of admission.The temperature, white blood cell count, platelet, alanine transaminase, creatinine, procalcitonin, C-reactive protein, scores of acute physiology and chronic health evaluation and sequential organ failure assessment and general data(gender, age, protopathy, infection site, pathogenic bacteria, norepinephrine use or mechanical ventilation) in all patients were analyzed at each point.
      ResultsThe serum level of Prdx1 in septic shock patients was higher than that in sepsis patients(P < 0.05).There was no statistical significance in serum level of Prdx6 between two groups(P>0.05).The serum level of Prdx1 in patients with APACHEⅡ score ≥ 15 was significantly higher than that in patients with APACHEⅡ score < 15(P < 0.01), the difference of the serum level of Prdx6 between two groups was not statistically significant(P>0.05).The serum levels of Prdx1 in survival group on the 1st, 3rd, 5th and 7th days were significantly lower than that in death group at time passed(P < 0.01), and except the third day, the difference of the serum level of Prdx6 between two groups was not statistical significance(P>0.05).
      ConclusionsThe serum levels of Prdx1 and Prdx6 in sepsis patients increase, which may become the molecular targets in the early diagnosis and treatment of sepsis.

       

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