幽门螺杆菌感染与帕金森病病人症状及血清炎性因子关系的临床研究

    Clinical study on the relationship between Helicobacter pylori infection and symptoms and serum inflammatory factors in patients with Parkinson's disease

    • 摘要:
      目的: 研究幽门螺杆菌感染(HP)对帕金森病(PD)病人临床症状及血清炎性因子水平的影响。
      方法: 选取住院的PD病人为研究对象。对所有入组病人进行临床量表评定,采用13C-UBT方法检测HP感染情况,采用酶联免疫吸附法(ELISA)法检测PD病人血清炎性因子IL-1β、IL-6水平。比较HP阳性组、阴性组及健康体检者(对照组)临床症状及血清炎性因子IL-1β、IL-6水平;分析血清炎性因子IL-1β、IL-6水平与临床症状的关系。
      结果: PD病人106例中HP阳性52例;HP阳性组血清IL-1β、IL-6水平均高于HP阴性组及对照组,差异有统计学意义(P < 0.05);PD病人血清炎性因子IL-1β、IL-6水平与UPDRS、SDS、SAS、PSQI量表评分及药物起效时间呈正相关关系(P < 0.01),与MOCA、“开”期时间呈负相关关系(P < 0.05)。HP阳性组与HP阴性组SAS、药物起效时间、“开”期时间差异均有统计学意义(P < 0.05 ~ P < 0.01)。
      结论: PD病人HP感染率高,PD病人血清炎性因子水平升高,且HP感染加重PD病人炎症反应、延长抗PD药物起效时间、缩短“开”期时间。血清炎症因子水平与PD病人临床症状有一定的相关性。炎症反应可能参与PD发生发展的病理生理机制。

       

      Abstract:
      Objective To study the effect of Helicobacter pylori (HP) infection on the clinical symptoms and serum inflammatory factors in patients with Parkinson's disease (PD).
      Methods Hospitalized PD patients were selected as the research subjects. All enrolled patients were evaluated by clinical scale, and the infection of HP was detected by 13C-UBT method. The levels of serum inflammatory factors IL-1 β and IL-6 in PD patients were detected by enzyme-linked immunosorbent assay (ELISA). The clinical symptoms and serum levels of inflammatory factors IL-1 β and IL-6 in HP positive group, HP negative group and healthy people (control group) were compared; the relationship between the levels of serum inflammatory factors IL-1 β, IL-6 and clinical symptoms was analyzed.
      Results Among 106 PD patients, 52 were HP positive; The serum levels of IL-1 β and IL-6 in HP positive group were significantly higher than those in HP negative group and control group (P < 0.05); The levels of serum inflammatory factors IL-1 β and IL-6 in PD patients were positively correlated with the scores of UPDRS, SDS, SAS, PSQI scale and the onset time of drugs (P < 0.01), and negatively correlated with the MOCA and "on" time (P < 0.05). There were statistically significant differences in SAS, drug onset time and "on" time between HP positive group and HP negative group (P < 0.05 to P < 0.01).
      Conclusion The HP infection rate of PD patients is high, the serum inflammatory factor level of PD patients increases, and HP infection aggravates the inflammatory reaction of PD patients, prolongs the onset time of anti PD drugs, and shortens the "on" period. The level of serum inflammatory factors has a certain correlation with the clinical symptoms of PD patients. Inflammatory response may be involved in the pathophysiological mechanism of the occurrence and development of PD.

       

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