首页|D二聚体、纤维蛋白原、CRP与溃疡性结肠炎疾病分期及严重程度的相关性分析

D二聚体、纤维蛋白原、CRP与溃疡性结肠炎疾病分期及严重程度的相关性分析

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目的:探讨外周血D-二聚体(D-D)、纤维蛋白原(FIB)、血清C反应蛋白(CRP)与溃疡性结肠炎疾病分期及严重程度的相关性。方法:回顾性选取2022 年4 月—2024 年3 月周口市中心医院收治的100 例溃疡性结肠炎患者为观察组,依据Suther-land 疾病活动指数将患者分为缓解期组47 例(0~2 分)和活动期组53 例(>2 分);另依据活动期组病情严重程度分为轻度组22 例(3~5 分),中度组17 例(6~10 分),重度组14 例(11~12 分);选取同期98 例健康体检者作为对照组。比较各组间外周血D-D、FIB及血清CRP水平;Spearman分析外周血D-D、FIB及血清CRP水平与疾病分期、疾病严重程度相关性。结果:观察组外周血D-D、FIB及血清CRP水平高于对照组,且活动期组高于缓解期组,重度组高于轻度组、中度组,差异均有统计学意义(P<0。05);Spearman相关性分析显示,外周血D-D、FIB及血清CRP与疾病分期呈正相关(r=0。627、0。633、0。631,P<0。05),与疾病严重程度呈正相关(r=0。604、0。584、0。604,P<0。05)。结论:外周血D-D、FIB及血清CRP水平在溃疡性结肠炎患者体内呈高表达,且与疾病分期、疾病严重程度均呈正相关,随病情严重程度加重而升高,可作为辅助评估溃疡性结肠炎患者病情进展状态重要的参考依据。
Study and analysis of correlation of D-dimer,serum CRP and fibrinogen with staging and severity of ulcerative colitis
Objective:To investigate the correlation of D-dimer(D-D),fibrinogen(FIB)and serum C-reactive protein(CRP)in peripheral blood with staging and severity of ulcerative colitis.Methods:Clinical data of 100 cases of ulcerative colitis admitted to a hospital from April 2022 to March 2024 were retrospectively included as an observation group,and based the Sutherland Disease Activi-ty Index,they were re-divided into a remission period group(0~2 points,47 cases),and an active period group(>2 points,53 ca-ses).Based on severity of the disease,the active period group were again divided into a mild group(3~5 points,22 cases),a mod-erate group(6~10 points,17 cases)and a severe group(11~12 points,14 cases).98 healthy medical checkups were selected as a control group in the same period.Peripheral blood D-D,FIB and serum CRP levels were compared among all the groups.Correlation of levels of peripheral D-D,FIB and serum CRP with staging and severity of the disease was analyzed with Spearman.Results:The periph-eral blood D-D,FIB,and serum CRP levels in the observation group were higher than those in the control group(P<0.05),higher in the active group than those in the remission group(P<0.05),and higher in the severe group than those in the mild group and the moderate group(P<0.05).The peripheral blood D-D,FIB,and serum CRP were positively correlated with disease stage(r=0.627,0.633,0.631,P<0.05)and with disease severity(r=0.604,0.584,0.604,P<0.05).Conclusion:Levels of D-D in peripheral blood,FIB and serum CRP are highly expressed in patients with ulcerative colitis,positively correlated with the disease stage and sever-ity,and are increased with the severity of the disease,which can be used as an important reference to evaluate the progression of the disease in patients with ulcerative colitis.

Colitis,ulcerativeD-dimerFibrinogenC-reactive proteinCorrelation

卢坤、王朝阳、王永霞

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河南省周口市中心医院 消化内二科,466099

新乡医学院 病理学系,河南 新乡 453003

结肠炎,溃疡性 D-二聚体 纤维蛋白原 C反应蛋白 相关性

2024

淮海医药
蚌埠市医学科学情报站 《淮海医药》编辑部

淮海医药

影响因子:0.58
ISSN:1008-7044
年,卷(期):2024.42(6)