辽宁医学杂志2024,Vol.38Issue(1) :12-14.

外周血miR-23b-3p、miR-223与纤维支气管镜肺泡灌洗治疗重症肺炎疗效及预后的相关性

Correlation of Peripheral Blood miR-23b-3p and miR-223 Levels with the Clinical Outcomes and Prognosis of Children with Severe Pneumonia Underwent Fiberoptic Bronchoalveolar Lavage

贾彦巍 周筱
辽宁医学杂志2024,Vol.38Issue(1) :12-14.

外周血miR-23b-3p、miR-223与纤维支气管镜肺泡灌洗治疗重症肺炎疗效及预后的相关性

Correlation of Peripheral Blood miR-23b-3p and miR-223 Levels with the Clinical Outcomes and Prognosis of Children with Severe Pneumonia Underwent Fiberoptic Bronchoalveolar Lavage

贾彦巍 1周筱1
扫码查看

作者信息

  • 1. 南阳市中心医院(河南南阳 473000)
  • 折叠

摘要

目的 探讨外周血miR-23b-3p、miR-223与纤维支气管镜肺泡灌洗治疗重症肺炎疗效及预后的相关性.方法 选择2019年1月至2020年1月在医院接受纤维支气管镜肺泡灌洗治疗重症肺炎患儿80例,将其纳入病例组.另外选择2019年1月至2020年1月在医院接受纤维支气管镜肺泡灌洗治疗普通肺炎患儿80例,将其纳入对照组.检测外周血miR-23b-3p、miR-223,使用纤维支气管镜肺泡灌洗治疗.比较两组患者外周血miR-23b-3p、miR-223水平,分析病例组治疗预后良好和不良患儿外周血miR-23b-3p、miR-223水平,并探讨其相关性.结果 病例组患儿外周血miR-23b-3p水平低于对照组(P<0.05),外周血miR-223水平高于对照组(P<0.05).预后良好组患儿外周血miR-23b-3p水平高于预后不良组(P<0.05),miR-223水平低于预后不良组(P<0.05).外周血miR-23b-3p水平与重症肺炎疗效及预后呈正相关(P<0.05),外周血miR-223水平与重症肺炎疗效及预后呈负相关(P<0.05).结论 外周血miR-23b-3p、miR-223表达水平影响纤维支气管镜肺泡灌洗治疗重症肺炎疗效及预后,其中外周血miR-23b-3p具有抑制炎性的作用,而miR-223是促炎作用,术前检测二者表达有利于预后.

Abstract

Objective To investigate the correlation of peripheral blood miR-23b-3p and miR-223 levels with the clini-cal outcomes and prognosis of patients with severe pneumonia underwent fiberoptic bronchoalveolar lavage.Methods Eighty children with severe pneumonia and another 80 children with common pneumonia underwent fiberoptic bronchoalveo-lar lavage in our hospital from January 2019 to January 2020 were enrolled,and set as case group and control group,respec-tively.Levels of peripheral blood miR-23b-3p and miR-223 were detected,and compared between the two groups.Then the correlation of peripheral blood miR-23b-3p and miR-223 levels with the prognosis of children with severe pneumonia was discussed.Results The level of peripheral blood miR-23b-3p in case group was lower than that of control group(P<0.05),and the level of peripheral blood miR-223 was higher than that of control group(P<0.05).The peripheral blood miR-23b-3p level of good prognosis group was higher than that of poor prognosis group(P<0.05),and the miR-223 level was lower than that of poor prognosis group(P<0.05).The level of peripheral blood miR-23b-3p was positively correlated with the clinical effect and prognosis of children with severe pneumonia(P<0.05),and the level of peripheral blood miR-223 was negatively correlated with the clinical effect and prognosis of children with severe pneumonia(P<0.05).Conclu-sion Peripheral blood miR-23b-3p and miR-223 expression levels affect the efficacy and prognosis of children with severe pneumonia underwent fiberoptic bronchoalveolar lavage,in which peripheral blood miR-23b-3p has an inhibitory effect on inflammation,while miR-223 is pro-inflammatory,so the preoperative detection of both indicators is of great clinical signifi-cance.

关键词

外周血miR-23b-3p/miR-223/纤维支气管镜肺泡灌洗/重症肺炎/疗效/预后

Key words

Peripheral blood miR-23b-3p/miR-223/Fiberoptic bronchoalveolar lavage/Severe pneumonia/Clinical effi-cacy/Prognosis

引用本文复制引用

出版年

2024
辽宁医学杂志
辽宁省医学会

辽宁医学杂志

影响因子:0.339
ISSN:1001-1722
参考文献量15
段落导航相关论文