肺癌中血清乳酸脱氢酶和超氧化物歧化酶联合检测的意义

    Significance of the combined determination of serum lactate dehydrogenase and superoxide dismutase in lung cancer

    • 摘要: 目的:探讨血清乳酸脱氢酶(lactate dehydrogenase,LDH)和超氧化物歧化酶(superoxide dismutase,SOD)联合检测在肺癌诊疗中的临床应用价值。方法:收集局部晚期或转移性肺癌病人45例,以健康体检人群45名作为对照组,使用Beckman Coulter AU5800型全自动生化分析仪,测定血清中LDH和SOD含量,同时观察肺癌病人化疗前后两指标的变化。结果:与对照组相比,肺癌病人的LDH水平升高,SOD水平降低(P<0.01)。LDH与病人血清白蛋白水平呈负相关(P<0.05);SOD与病人肿瘤分期呈负相关(P<0.01),与血清白蛋白水平呈正相关。两指标在肺癌病人治疗前血清中的表达水平呈负相关关系(P<0.05)。2周期化疗后,化疗的疗效与LDH的下降及SOD的上升均呈正相关(P<0.05)。结论:联合监测血清LDH和SOD含量对肺癌病人疾病诊断、病情评估及疗效评价可能有一定的临床意义。

       

      Abstract: Objective: To investigate the clinical application value of the combined detection of serum lactate dehydrogenase(LDH) and superoxide dismutase(SOD) in the diagnosis and treatment of lung cancer. Methods: Forty-five patients with locally advanced or metastatic lung cancer were investigated,and 45 healthy physical examination people were set as the control group.The serum levels of LDH and SOD in lung cancer patients and healthy people were detected using Beckman Coulter AU5800 automatic biochemistry analyzer,and the changes of LDH and SOD between before and after chemotherapy in lung cancer patients were evaluated. Results: Compared with healthy control group,the level of LDH and SOD in lung cancer patients increased and decreased,respectively,and the differences of those were statistically significant(P<0.01).In lung cancer patients,the serum LDH was negatively associated with serum albumin level(P<0.05);the serum SOD was negatively associated with tumor stage(P<0.01),and the serum SOD was positively associated with the serum albumin level(P<0.05).The serum levels of LDH and SOD in lung cancer patients were negatively correlated before treatment(P<0.05).After two cycles of chemotherapy,the effect of chemotherapy was both positively correlated with the decrease of LDH and increase of SOD(P<0.05). Conclusions: The combined monitoring of the serum levels of LDH and SOD in patients may have a certain clinical significance in the diagnosis,assessment and efficacy evaluation of lung cancer.

       

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