首页|慢性丙型病毒性肝炎患者血清IL-26、25(OH)D水平变化及其临床意义

慢性丙型病毒性肝炎患者血清IL-26、25(OH)D水平变化及其临床意义

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目的 探讨慢性丙型病毒性肝炎(chronic hepatitis C,CHC)患者血清IL-26、25(OH)D水平变化及其临床意义.方法 选取 2022 年 1 月至 2023 年 1 月中国人民解放军联勤保障部队第九八七医院收治的 120 例 CHC患者作为研究组,选取我院同期健康体检者 50 名作为对照组,采用 ELISA 检测 IL-26 及 25(OH)D 水平.结果 与对照组相比,研究组患者血清中 IL-26 水平升高,25(OH)D水平降低(P<0.05);与 F0~F1 分级相比,F2~F3 分级的 CHC 患者血清中 IL-26 升高,25(OH)D 水平降低(P<0.05);与F2~F3 分级相比,F4 分级的 CHC 患者血清中 IL-26 升高,25(OH)D 水平降低(P<0.05);与高病毒载量组相比,低病毒载量组的CHC患者血清中 IL-26 降低,25(OH)D水平升高(P<0.05);治疗后,CHC患者血清中 IL-26 水平降低,25(OH)D升高(P<0.05);与不良预后患者的 CHC 患者相比,非不良预后的 CHC 患者血清中 IL-26 水平降低,25(OH)D 水平升高(P<0.05);在 CHC 患者中IL-26、25(OH)D呈负相关(r=-0.766,P<0.001).结论 CHC患者血清 IL-26 升高、25(OH)D 降低,并与肝纤维化程度及 HCV 病毒载量有关.临床治疗后,可逆转这一现象.
Changes of serum IL-26 and 25(OH)D levels in patients with chronic hepatitis C and its clinical significance
Objective To investigate the changes of serum IL-26,25(OH)D levels in patients with chronic hepati-tis C(CHC)and its clinical significance.Methods A total of 120 patients with CHC admitted to our hospital from Jan.2022 to Jan.2023 were selected as the study group,and 50 healthy subjects in No.987 Hospital of Joint Logistics Support Force of Chinese People's Liberation Army at the same time were selected as the control group.Results Com-pared with the control group,the levels of IL-26 and 25(OH)D were increased in the study group(P<0.05).Com-pared with F0-F1,serum IL-26 and 25(OH)D levels in CHC patients with F2-F3 classification were increased and de-creased,with statistical significance(P<0.05).Compared with F2-F3,serum IL-26 and 25(OH)D levels in CHC pa-tients with F4 classification were increased(P<0.05).Compared with the high viral load group,the serum IL-26 and 25(OH)D levels of CHC patients in the low viral load group were decreased(P<0.05).After treatment,IL-26 levels were decreased while 25(OH)D levels were increased in CHC patients,respectively(P<0.05).Compared with CHC patients with poor prognosis,serum IL-26 level was decreased and 25(OH)D level was increased in CHC patients with non-poor prognosis,and the difference was statistically significant(P<0.05).IL-26 and 25(OH)D were negatively corre-lated in patients with CHC(r=-0.766,P<0.001).Conclusion Serum IL-26 and 25(OH)D levels in patients with chronic C viral hepatitis are elevated and correlated with the degree of liver fibrosis and HCV viral load.Post-clinical treatment,this phenomenon can be reversed.

Chronic hepatitis CInterleukin 2625 hydroxyvitamin DViral loadHepatic fibrosis

赵琳、杨斌、赵锁、王科文

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中国人民解放军联勤保障部队第九八七医院感染科,陕西 宝鸡 721000

第三军医大学药学与检验医学系药剂科

中国人民解放军联勤保障部队第九八七医院结核科

慢性丙型病毒性肝炎 白细胞介素26 25羟维生素D 病毒载量 肝纤维化

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(8)