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血Nrf2及HO-1与重症肺炎患者预后相关性研究

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目的 探讨血核因子E2相关因子2(nuclear factor erythroid 2-related factor 2,Nrf2)、血红素加氧酶1(heme oxygenase 1,HO-1)在重症肺炎的表达及与患者预后的关系,探求生物标志物能否评估重症肺炎预后.方法 对同济大学附属杨浦医院2023年1月1日—2023年7月31日呼吸与危重症医学科及急诊重症监护室住院治疗的重症肺炎患者87例进行研究,依据临床结局分为死亡组与生存组.检测两组重症肺炎患者d1、d4外周血Nrf2、HO-1,并应用统计学软件SPSS 19.0进行统计分析.结果 D4血Nrf2、H O-1与重症肺炎的预后明显相关,差异有统计学意义(P<0.01).接受者操作特征曲线(receiver operating characteristic,ROC)下面积(area under curve,AUC)依次为0.827、0.793,二者对重症肺炎患者的预后具有较高的预测价值.结论 重症肺炎患者d4天血Nrf2、HO-1预测其预后有一定的价值,与其预后呈负相关.
Study on correlation between biood Nrf2 and HO-1 and prognosis in Severe pneumonia patients
Objective To explore the expression of nuclear factor ergthroid 2-related factor 2(Nrf2)and heme oxygenase 1(HO-1)in severe pneumonia and their relationship with patient prognosis.To explore whether biomarkers can assess the prognosis of severe pneumonia.Methods A study was conducted on 87 patients with severe pneumonia who were hospitalized in the Department of Respiratory and Critical Care Medicine and Emergency Intensive Care Unit of Yangpu Hospital from Jan-uary 1,2023 to July 31,2023.Patients were divided into a death group and a survival group based on clinical outcome.While detecting peripheral blood Nrf2 and HO-1 in both groups on day 1 and day 4,statistical analysis was conducted using the software SPSS 19.0.Results Day 4 blood Nrf2 and HO-1 were significantly correlated with the prognosis of severe pneumo-nia,showing statistical significance(P<0.01).The area under the receiver operating characteristic(ROC)curve was 0.827 and 0.793,respectively,indicating their high predictive value for the prognosis of severe pneumonia patients.Conclusion The Nrf2 and HO-1 levels in the blood of patients with severe pneumonia on day 4 have certain predictive val-ue with regard to their prognosis,displaying an inverse relationship with their overall health outcome.

Blood nuclear factor erythroid 2-related factor 2Blood heme oxygenase 1Severe pneumoniaPrognosis

任红梅、耿子欣、李汉华、王金平、江蒙、郑翠侠

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同济大学附属杨浦医院呼吸与危重症医学科,上海 200090

同济大学附属杨浦医院检验科,上海 200090

同济大学附属杨浦医院急诊科,上海 200090

血核因子E2相关因子2 血红素加氧酶1 重症肺炎 预后

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(22)