首页|血清半乳糖凝集素13、缺氧诱导因子1a水平与过敏性鼻炎病儿视觉模拟评分法评分的相关性

血清半乳糖凝集素13、缺氧诱导因子1a水平与过敏性鼻炎病儿视觉模拟评分法评分的相关性

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目的 探究血清半乳糖凝集素13(Gal-13)、缺氧诱导因子1α(HIF-1α)水平与过敏性鼻炎视觉模拟评分法(VAS)评分的相关性.方法 选取2022年1月至2023年7月在安徽省儿童医院治疗的过敏性鼻炎病儿69例,根据VAS评分分为轻度组(n=37)及中重度组(n=32),并选取非过敏性鼻炎病儿54例作为非过敏性鼻炎组,以同期体检的49例健康志愿者为对照组,采用酶联免疫吸附法检测血清Gal-13、HIF-1α水平,并收集病儿临床资料进行比较.采用Pearson法分析过敏性鼻炎病儿血清Gal-13、HIF-1α水平与VAS评分的相关性,绘制受试者操作特征曲线(ROC曲线)检测血清Gal-13、HIF-1α水平对过敏性鼻炎病情程度的诊断价值.结果 与对照组相比,非过敏性鼻炎组及过敏性鼻炎组的血清Gal-13[(39.52±4.96)ng/L、(49.62±6.29)ng/L比(31.55±4.31)ng/L]、HIF-1α水平[(0.45±0.08)μg/L、(1.06±0.15)μg/L比(0.25±0.06)μg/L]显著增加(P<0.05),与非过敏性鼻炎组相比,过敏性鼻炎组的血清Gal-13、HIF-1α水平也显著增加(P<0.05);中重度组血清Gal-13、HIF-1α水平显著大于轻度组(P<0.05);两组病儿的年龄、性别差异无统计学意义(P>0.05),两组病儿的病程、免疫球蛋白(Ig)E、白细胞介素(IL)-4、IL-9、干扰素γ(IFN-γ)以及VAS评分差异有统计学意义(P<0.05);血清Gal-13、HIF-1α水平与VAS评分均呈正相关(r=0.70,P<0.05;r=0.68,P<0.05);绘制ROC曲线,血清Gal-13、HIF-1α及联合AUC分别为0.84、0.84、0.94,联合诊断显著优于Gal-13(Z=2.06,P=0.049)、HIF-1α(Z=2.50,P=0.012)单独诊断.结论 过敏性鼻炎病儿血清Gal-13,HIF-1α水平与VAS评分均呈正相关,且血清Gal-13、HIF-1α对于过敏性鼻炎的临床诊断以及病情严重程度判定具有一定参考价值.
Correlation between serum Gal-13,HIF-1α levels and VAS score in children with allergic rhinitis
Objective To investigate the correlation between serum Gal-13,HIF-1α levels and VAS score in children with allergic rhinitis.Methods A total of 69 children with allergic rhinitis who were treated in Anhui Children's Hospital from January 2022 to Ju-ly 2023 were collected and grouped into mild group(n=37)and moderate to severe group(n=32)according to VAS score.Fifty-four pa-tients with non-allergic rhinitis were regarded as non-allergic rhinitis group,and 49 healthy volunteers who underwent physical exami-nation were regarded as control group,enzyme-linked immunosorbent assay(ELISA)was applied to detect serum Gal-13 and HIF-1α levels,clinical data of patients were collected and compared.Pearson's method was applied to analyze the correlation between serum Gal-13,HIF-1α levels and VAS score in allergic rhinitis children,receiver operating characteristic(ROC)curve was plotted to detect the diagnostic value of serum Gal-13 and HIF-1α levels for the severity of allergic rhinitis in children.Results Compared with the con-trol group,the serum levels of Gal-13[(39.52±4.96)ng/L,(49.62±6.29)ng/L vs.(31.55±4.31)ng/L]and HIF-1α[(0.45±0.08)μg/L,(1.06±0.15)μg/L vs.(0.25±0.06)μg/L]in the non-allergic rhinitis group and allergic rhinitis group were obviously increased(P<0.05),com-pared with the non-allergic rhinitis group,the levels of serum Gal-13 and HIF-1α in the allergic rhinitis group were also obviously in-creased(P<0.05);the serum levels of Gal-13 and HIF-1α in the moderate to severe group were obviously higher than those in the mild group(P<0.05);analysis of the general data of children with allergic rhinitis revealed that there was no significant difference between the age,genders of the two groups(P>0.05),and duration of the disease,IgE,IL-4,IL-9,IFN-γ,and VAS scores of the two groups yield-ed significant differences(P<0.05);the levels of serum Gal-13 and HIF-1α were positively correlated with VAS score(r=0.70,P<0.05;r=0.68,P<0.05);ROC curve was plotted,and the results showed that the AUC of serum levels of Gal-13,HIF-1α,and the combination was 0.84,0.84,and 0.938,the combined diagnosis was significantly better than that of Gal-13(Z=2.06,P=0.049)and HIF-1α(Z=2.50,P=0.012)diagnosed separately.Conclusion The levels of serum Gal-13 and HIF-1α in allergic rhinitis childrenwere positively corre-lated with the VAS score,and serum Gal-13 and HIF-1α have some reference value for the clinical diagnosis and severity assessment of allergic rhinitis.

Rhinitis,allergicSymptoms visual analogue scaleGalectin-13Hypoxia-inducible factor-1α

何雯、许自成、承胜男、成琦

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安徽省儿童医院,耳鼻喉科,安徽 合肥 230022

安徽省儿童医院,检验科,安徽 合肥 230022

鼻炎,过敏性 症状视觉模拟评分 半乳糖凝集素13 缺氧诱导因子-1α

2025

安徽医药
安徽省药学会

安徽医药

影响因子:1.941
ISSN:1009-6469
年,卷(期):2025.29(2)