首页|外周血miR-30a对脓毒血症并发ARDS患者预后的预测价值

外周血miR-30a对脓毒血症并发ARDS患者预后的预测价值

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目的 探讨外周血miR-30a对脓毒血症并发急性呼吸窘迫综合征(ARDS)患者预后的预测价值。方法 选取诊治的100例脓毒血症合并ARDS患者为研究对象,根据患者的28天病情转归情况分为死亡组35例,生存组65例,比较两组患者的miR-30a、ERK蛋白以及磷酸化蛋白水平,评估miR-30a、ERK蛋白以及磷酸化蛋白水平对脓毒血症并发ARDS患者预后的预测效能。结果 死亡组的miR-30a和磷酸化蛋白水平高于生存组,ERK蛋白低于生存组(P<0。05)。miR-30a、ERK蛋白、磷酸化蛋白进行联合诊断,其诊断特异度较高,联合检测的曲线下面积高于单独检测(P<0。05)。结论 外周血miR-30a、ERK蛋白以及磷酸化蛋白表达异常可作为脓毒血症并发ARDS患者预后判定的重要依据。
Prognostic value of peripheral blood miR-30a in patients with sepsis complicated with ARDS
Aim To investigate the prognostic value of peripheral blood miR-30a in patients with sepsis complicated with a-cute respiratory distress syndrome(ARDS).Methods 100 patients with sepsis complicated with ARDS were selected as the re-search objects.According to the patients'outcome on 28 day,35 patients were selected into the death group and 65 patients were se-lected into the survival group.The differences of miR-30a,ERK protein and phosphorylated protein levels between the two groups were compared,and the prognostic value of miR-30a,ERK protein and phosphorylated protein levels in patients with sepsis complicat-ed with ARDS was estimated.Results The levels of miR-30a and the phosphorylated protein in the death group were significantly higher than those in the survival group(P<0.05),and the ERK protein in the death group was significantly lower than that in the sur-vival group(P<0.05).The combined diagnosis of miR-30a,ERK protein and phosphorylated protein had a high diagnostic specifici-ty.According to ROC curve analysis,the area under the curve of the combined detection of miR-30a,ERK protein and phosphoryla-ted protein was significantly higher than that of the single detection(P<0.05).Conclusion Abnormal expression of miR-30a,ERK protein and phosphorylated protein in peripheral blood can be used as an important prognostic basis for patients with ARDS com-plicated by sepsis.

sepsisARDSmiR-30 yearsERK proteinphosphorylated proteinprognosis

欧阳银、唐伟伟

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安庆市立医院急诊科,安徽安庆 246003

脓毒血症 急性呼吸窘迫综合征 miR-30a ERK蛋白 磷酸化蛋白 预后

2024

中南医学科学杂志
南华大学

中南医学科学杂志

CSTPCD
影响因子:0.757
ISSN:2095-1116
年,卷(期):2024.52(1)
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