室性心律失常病人血清miR-27a、miR-206水平及临床意义

    Levels and clinical significance of the serum miR-27a and miR-206 in patients with ventricular arrhythmia

    • 摘要: 目的:探究微小RNA-27a(miR-27a)、miR-206在室性心律失常(VA)中的表达水平及意义。方法:选取140例急性冠状动脉综合征(ACS)病人为研究对象,将其分为VA组(n=77)和非VA组(n=63)。比较VA组、非VA组基本资料及血清miR-27a、miR-206、高敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)水平;分析ACS并发VA病人血清miR-27a、miR-206水平与hs-CRP、TNF-α的关系;分析血清miR-27a、miR-206、hs-CRP、TNF-α水平对ACS并发VA的预测价值。结果:VA组病人血清miR-27a、miR-206、hs-CRP、TNF-α水平高于非VA组(P<0.01),左心室射血分数水平低于非VA组(P<0.01)。ACS并发VA病人血清miR-27a、miR-206表达水平与hs-CRP、TNF-α均呈正相关关系(P<0.01);miR-27a、miR-206联合预测ACS并发VA的AUC为0.951,灵敏度为96.1%,特异度为84.1%,二者联合预测价值高于单独预测价值。结论:ACS并发VA病人血清miR-27a、miR-206表达水平较高,均与hs-CRP、TNF-α关系密切,且miR-27a、miR-206联合可较好地预测ACS并发VA,为临床预测ACS并发VA提供新参考。

       

      Abstract: Objective: To explore the effects of recombinant human interferon α2b vaginal effervescent capsules(RHIα2b-VEC) on the vaginal microenvironment and prognosis of patients with cervical intraepithelial neoplasia(CIN) complicated with human papilloma virus(HPV) infection after loop eelectrosurgical excision procedure (LEEP)/cold knife conization(CKC). Methods: Eighty-six CIN patients complicated with HPV infection treated with LEEP/CKC were divided into the combined group(n=43) and single group(n=43) by the random number table method.After the first postoperative menstrual period,the single group were treated with lactobacillus live bacteria capsules,and the combined group were treated with RHIα2b-VEC combined with lactobacillus live bacteria capsules.The postoperative recovery status(vaginal bleeding time,bleeding volume,drainage time and cervical wound healing time),HPV negative conversion status(negative conversion rate and total effective rate) after 3 months of treatment,and vaginal microenvironment(Nugent score and pH value of vaginal secretion) before treatment and after 3 months of treatment were compared between two groups. Results: The vaginal bleeding time,drainage time and cervical wound healing time in the combined group were shorter than those in single group (P<0.01).After 3 months of treatment,the negative conversion rate and total effective rate in the combined group were significantly higher than those in single group(P<0.05 and P<0.01).After treatment.the Nugent score and pH value of vaginal secretion in two groups decreased compared with those before surgery,and the above indicators in the combined group were lower than those in single group(P<0.01). Conclusions: The postoperative application of RHIα2b-VEC in CIN patients cpomlicated with HPV infection treated with LEEP/CKC can effectively promote the vaginal environment recovery and HPV negative conversion,relieve the vaginal inflammatory response,and it has high clinical application value.

       

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