首页|血清二胺氧化酶活性测定对判断肠缺血患者预后的应用价值

血清二胺氧化酶活性测定对判断肠缺血患者预后的应用价值

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目的 探讨血清二胺氧化酶(DAO)监测对判断肠缺血患者预后的应用价值,为该类患者的治疗提供参考。方法 2019年2月至2020年10月,采用血清DAO作为肠道屏障功能评估指标,选取我院收治的50例肠缺血患者作为试验组,连续监测试验组患者治疗前2h和治疗后第3天、第5天、第7天的肠道屏障功能状况;选取同期我院50例非肠道疾病患者作为对照组,在临床治疗前检测其肠道屏障功能状况。结果 试验组患者治疗前2h血清DAO水平为(21。261±4。101)U/L。与治疗前2h相比,治疗后第3天、第5天、第7天患者血清DAO水平均显著下降,差值分别为(5。504±0。609)U/L(t=2。385,P=0。011)、(10。697±0。661)U/L(t=11。560,P<0。001)和(13。383±0。585)U/L(t=12。663,P<0。001)。试验组患者血清 DAO水平在治疗前2 h最高,治疗后第3天显著回落,治疗后第7天恢复至(7。878±1。033)U/L,而对照组患者血清DAO水平为(7。529±10。165)U/L,二者差异无统计学意义(t--1。584,P=0。117)。结论 血清DAO水平作为肠道屏障功能监测的指标,对于肠缺血预后评估具有一定的临床价值。
The value of serum diamine oxidase monitoring in predicting the prognosis of patients with intestinal ischemia
Objective To explore the clinical value of serum diamine oxidase(DAO)monitoring in predicting the pro-gnosis of intestinal ischemia,providing a reference for the treatment.Methods From February 2019 to October 2020,50 patients with intestinal ischemia treated in our hospital were selected as the experiment group;using serum DAO as the in-dex of intestinal barrier function evaluation,the intestinal barrier function was continuously monitored 2 hours before treat-ment,and on the 3rd,5th and 7th day after treatment.Fifty patients with non-intestinal diseases were selected as the con-trol group,and the intestinal barrier function was measured before clinical treatment.Results Two hours before treat-ment,the serum DAO level in the experiment group was(21.261±4.101)U/L.Compared with that 2 hours before treat-ment,on the 3rd,5th and 7th day after treatment,the levels of serum DAO decreased significantly by(5.504±0.609)U/L(t=2.385,P=0.011),(10.697±0.661)U/L(t=11.560,P<0.001)and(13.383±0.585)U/L(t=12.663,P<0.001)respectively.The level of serum DAO in the experiment group was the highest 2 hours before treatment,decreased significantly on the 3rd day after treatment,and returned to(7.878±1.033)U/L on the 7th day after treatment.The level of serum DAO in the control group was(7.529±10.165)U/L.There was no significant difference between the two groups(t=1.584,P=0.1 17).Conclusion As an indicator of intestinal barrier function,serum DAO level has an appropriate clinical value in evaluat-ing the prognosis of intestinal ischemia.

Diamine oxidaseIntestinal barrierIntestinal ischemia

胡金树、杨国涛、尹勇、刘洁琼、江玉娟

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沧州市中心医院,河北 061000

二胺氧化酶 肠道屏障 肠缺血

河北省医学科学研究课题(2019)吴阶平医学基金会临床科研专项吴阶平医学基金会临床科研专项

20191266320.6750.17533320.6750.16050

2024

中国微生态学杂志
中华预防医学会 大连医科大学

中国微生态学杂志

CSTPCD北大核心
影响因子:1.115
ISSN:1005-376X
年,卷(期):2024.36(3)
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