首页|G-CSF、PLGF和PTX3在肺炎患儿血清中的表达及与肺通气功能的关系分析

G-CSF、PLGF和PTX3在肺炎患儿血清中的表达及与肺通气功能的关系分析

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目的 探讨粒细胞集落刺激因子(G-CSF)、胎盘生长因子(PLGF)和血清正五聚蛋白 3(PTX3)在肺炎患儿血清中的表达及与肺通气功能的关系.方法 本研究以河南大学第一附属医院2021 年 1 月~2023 年 3 月进行治疗的小儿肺炎患者 110 例作为研究对象,设为观察组,并按照《儿童社区获得性肺炎管理指南(2013 修订)》标准,分为轻症组(46 例)和重症组(64 例).另选取同期进行健康体检志愿者 110 例作为对照组,分别对两组的肺活量(FVC)、第一秒用力呼气容积(FEV1)、第一秒用力呼气容积百分比(FEV1%)、G-CSF、PLGF 和 PTX3 进行比较.进一步比较轻症组及重症组患儿之间的FVC、FEV1、FEV1%、G-CSF、PLGF 和 PTX3 差异.采用 spearman 相关性分析 FEV1、FEV1%、FVC与G-CSF、PLGF、PTX3 的相关性.结果 观察组患儿的 FEV1、FEV1%、FVC 均显著低于对照组(P<0.001);重症组患儿的 FEV1、FEV1%、FVC 均显著低于轻症组(P<0.001);观察组患儿PTX3、G-CSF均显著高于对照组,PLGF低于对照组(P<0.001);重症组患儿 PTX3、G-CSF均显著高于轻症组,PLGF低于轻症组(P<0.001);spearman 相关性分析显示患儿 FEV1、FEV1%、FVC 与PTX3、G-CSF呈负相关,与PLGF呈正相关.结论 G-CSF、PLGF和PTX3 在肺炎患儿血清中的表达与肺通气功能呈现显著的相关性,可作为病情严重程度判定以及治疗效果分析的重要参考.
Analysis of the expression of G-CSF,PLGF,and PTX3 in the serum of children with pneumonia and their relationship with lung ventilation function
Objective To investigate the expression of granulocyte colony-stimulating factor(G-CSF),placental growth factor(PLGF),and serum pentraxin 3(PTX3)in the serum of children with pneumonia and their relationship with lung ventilation function.Methods This study included 110 ped-iatric patients with pneumonia treated at the First Affiliated Hospital of Henan University from Janu-ary 2021 to March 2023 as the observation group.They were further divided into a mild group(46 ca-ses)and a severe group(64 cases)according to the"Guidelines for the Management of Community-Acquired Pneumonia in Children(2013 Revision)".Another 110 healthy volunteers who underwent physical examination during the same period were selected as the control group.The forced vital capac-ity(FVC),forced expiratory volume in one second(FEV1),forced expiratory volume in one second percentage(FEV1%),G-CSF,PLGF,and PTX3 were compared between the two groups.The differ-ences in FVC,FEV1,FEV1%,G-CSF,PLGF,and PTX3 between the mild and severe groups were further compared.Spearman correlation analysis was used to analyze the correlation between FEV1,FEV1%,FVC,and G-CSF,PLGF,PTX3.Results The FEV1,FEV1%,and FVC of the observation group were significantly lower than those of the control group(P<0.001);the FEV1,FEV1%,and FVC of the severe group were significantly lower than those of the mild group(P<0.001);the PTX3 and G-CSF levels in the observation group were significantly higher than those in the control group,while the PLGF level was lower(P<0.001);the PTX3 and G-CSF levels in the severe group were significantly higher than those in the mild group,while the PLGF level was lower(P<0.001);Spearman correlation analysis showed that FEV1,FEV1%,and FVC were negatively correlated with PTX3 and G-CSF,and positively correlated with PLGF.Conclusion The expression of G-CSF,PL-GF,and PTX3 in the serum of children with pneumonia shows a significant correlation with lung ven-tilation function,which can serve as an important reference for assessing the severity of the condition and analyzing treatment effectiveness.

PneumoniaPulmonary functionG-CSFPLGFPTX3

吕民英、付晓梅、齐莎莎

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河南大学第一附属医院儿科 河南开封 475000

肺炎 肺功能 G-CSF PLGF PTX3

河南省医学科技攻关计划联合共建项目

LHGJ20200538

2024

华北理工大学学报(医学版)
河北联合大学

华北理工大学学报(医学版)

影响因子:0.569
ISSN:2095-2694
年,卷(期):2024.26(2)
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