首页|血清SAA、IL-12及IL-6水平在儿童手足口病病情中的评估价值

血清SAA、IL-12及IL-6水平在儿童手足口病病情中的评估价值

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[目的]探讨血清淀粉样蛋白A(SAA)、白细胞介素-12(IL-12)及白细胞介素-6(IL-6)水平在儿童手足口病病情的评估价值.[方法]100例手足口病患儿作为观察组,同期100名体检健康的儿童作为对照组,根据病情严重程度将观察组患儿分为轻症组(n=46)、重症组(n=34)和危重组(n=20).比较手足口病患儿及健康儿童的血清SAA、IL-12、IL-6水平,采用受试者工作特征(ROC)曲线分析血清SAA、IL-12及IL-6水平诊断手足口病的价值,比较不同病情严重程度患儿的相关资料,分析血清SAA、IL-12及IL-6水平与病情严重程度的相关性.[结果]观察组患儿血清SAA、IL-12、IL-6水平显著高于对照组(P<0.05);ROC曲线分析显示,血清SAA、IL-12及IL-6水平诊断手足口病的曲线下面积分别为0.873、0.843、0.840,敏感度分别为0.870、0.820、0.830(均P<0.05);危重组患儿血清SAA、IL-12、IL-6水平显著高于轻症组及重症组,重症组显著高于轻症组(P<0.05);相关性分析显示,血清SAA、IL-12及IL-6水平与患儿病情严重程度呈正相关(均P<0.05).[结论]血清SAA、IL-12及IL-6水平可预测手足口病患儿的病情严重程度,其水平越高,患儿病情越严重.
The Value of Combined Detection of Serum SAA,IL-12,and IL-6 in Assessing the Severity of Hand,Foot,and Mouth Disease in Children
[Objective]To explore the value of combined detection of serum amyloid A(SAA),interleukin-12(IL-12),and interleukin-6(IL-6)levels in assessing the severity of hand,foot,and mouth disease(HFMD)in children.[Methods]A total of 100 HFMD children were selected as the observation group,and 100 healthy chil-dren undergoing physical examination in the same period served as the control group.The children in the observa-tion group were divided into mild(n=46),severe(n=34),and critical(n=20)groups based on the severity of their conditions.Serum levels of SAA,IL-12,and IL-6 in children with HFMD and healthy children were com-pared.The diagnostic value of these serum levels for HFMD was analyzed using the receiver operating characteris-tic(ROC)curves.The data of children with different severity levels were compared,and the correlation between serum levels of SAA,IL-12,and IL-6 and disease severity was analyzed.[Results]The levels of serum SAA,IL-12,and IL-6 in the observation group were significantly higher than those in the control group(P<0.05).ROC analysis showed that the areas under the curve(AUC)for serum SAA,IL-12,and IL-6 levels were 0.873,0.843,and 0.840,respectively,with sensitivities of 0.870,0.820,and 0.830,respectively(all P<0.05).The lev-els of serum SAA,IL-12,and IL-6 in the critical group were significantly higher than those in the mild and severe groups,and their levels in the severe group were significantly higher than those in the mild group(P<0.05).Correlation analysis showed that the levels of serum SAA,IL-12,and IL-6 were positively correlated with the se-verity of the disease(all P<0.05).[Conclusion]The levels of serum SAA,IL-12,and IL-6 can predict the severi-ty of HFMD in children.The higher these levels detected,the more severe condition for the child.

Hand,Foot and Mouth DiseaseSerum Amyloid A ProteinInterleukin-12Interleukin-6Child

师欢、李舒、郑振兴、钟瑞、郭东、刘剑锋

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榆林市疾病预防控制中心检验科,陕西 榆林 719000

榆林市疾病预防控制中心信息科,陕西 榆林 719000

手足口病 血清淀粉样蛋白A 白细胞介素12 白细胞介素6 儿童

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(8)