首页|过敏性鼻炎患者血清IL-1β、IL-10表达与病情的相关性研究

过敏性鼻炎患者血清IL-1β、IL-10表达与病情的相关性研究

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目的 探讨过敏性鼻炎(AR)患者血清白介素IL-1β、IL-10 表达与病情的关系.方法 选取 2022 年 2 月至 2023年7 月我院收治的60 例AR患者为研究组,并依据AR病情程度分为轻度组、中度组、重度组,每组20 例;同时选择同期体检健康者60 例为对照组.比较研究组与对照组的血清IL-1β、IL-10 水平以及不同病情程度的AR患者血清IL-1β、IL-10 水平,分析血清IL-1β、IL-10 与AR患者病情的相关性,采用Logistic回归分析AR患者病情的影响因素,采用受试者工作特征曲线(ROC)分析血清IL-1β、IL-10 对AR患者病情的诊断价值.结果 研究组的血清IL-1β水平高于对照组、IL-10 水平低于对照组,差异均有统计学意义(均P<0.05);研究组中的重度组患者血清IL-1β水平高于轻、中度组患者,血清IL-10 水平低于轻、中度组患者,差异均有统计学意义(均P<0.05).相关性分析显示,AR患者的血清IL-1β与病情严重程度呈正相关(r = 0.730,P<0.001),IL-10 水平与病情严重程度呈负相关(r =-0.747,P<0.001).经有序Logistic回归分析显示,血清IL-1β高表达是AR患者病情加重的危险因素(OR =2.270,P<0.001),IL-10 高表达是AR患者病情加重的保护因素(OR =0.320,P<0.01).ROC曲线分析结果显示,血清IL-1β、IL-10 及联合检测诊断AR患者病情曲线下面积(AUC)为0.876、0.888、0.940,联合检测的诊断价值较单一指标检测高.结论 AR患者的血清IL-1β、IL-10 表达与患者病情密切相关,临床可通过检测患者的血清IL-1β、IL-10 表达来判断其病情程度.
Correlation between serum IL-1β,IL-10 expression and illness degree in patients with allergic rhinitis
Objective To investigate the relationship between the expression of serum interleukin-1β,IL-10 and illness degree in patients with allergic rhinitis(AR).Methods 60 cases of AR patients admitted to our hospital from February 2022 to July 2023 were selected as the study group,and were divided into mild group,moderate group and severe group according to the severity of AR disease,with 20 cases in each group.At the same time,60 healthy subjects were selected as control group.The serum IL-1β,IL-10 lev-els of the study group and the control group were compared,and the serum IL-1β,IL-10 levels of AR patients with different illness de-grees were analyzed,and the correlation between serum IL-1β,IL-10 and the illness degree of AR patients was analyzed by Logistic re-gression.Receiver operating characteristic curve(ROC)was used to analyze the diagnostic value of serum IL-1β,IL-10 in AR patients.Results The serum IL-1β level of the study group was higher than that of the control group,and the serum IL-10 level was lower than that of the control group,with statistical significance(all P<0.05).Serum IL-1β level in severe group was higher than that in mild and moderate groups,and serum IL-10 level was lower than that in mild and moderate groups,with statistical significance(all P<0.05).Correlation analysis showed that serum IL-1β was positively correlated with the severity of AR(r =0.730,P<0.001),and IL-10 level was negatively correlated with the severity of AR(r =-0.747,P<0.001).Ordered Logistic regression analysis showed that high expression of serum IL-1β was a risk factor for worsening disease in AR patients(OR =2.270,P<0.001),and high expression of IL-10 was a protective factor for worsening disease in AR patients(OR =0.320,P<0.01).ROC curve analysis results showed that the area under the disease curve(AUC)of serum IL-1β,IL-10 and combined detection the disease condition in AR patients were 0.876,0.888 and 0.940,and the diagnostic value of combined detection was higher than that of single detection.Conclusion The expres-sion of serum IL-1β,IL-10 in patients with AR is closely related to the illness degree of patients,and the illness degree can be judged by detecting the expression of serum IL-1β,IL-10 in patients with AR.

Allergic rhinitisInterleukin-1βInterleukin-10Illness degree

罗祝麟、刘云香、黄敏、刘晓娟、李双江、邓红宾

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南昌市人民医院/南昌市第三医院耳鼻咽喉科,江西南昌 330002

过敏性鼻炎 白介素-1β 白介素-10 病情

江西省卫生健康委科技项目

202311255

2024

蛇志
中国蛇协

蛇志

影响因子:0.439
ISSN:1001-5639
年,卷(期):2024.36(1)
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