首页|SAA、IL-6、CRP及T淋巴细胞亚群联合检测在类风湿性关节炎患者中的应用价值

SAA、IL-6、CRP及T淋巴细胞亚群联合检测在类风湿性关节炎患者中的应用价值

扫码查看
目的 探讨血清淀粉样蛋白A(SAA)、白细胞介素-6(IL-6)、C反应蛋白(CRP)及T淋巴细胞亚群联合检测在类风湿性关节炎患者中的应用价值并进行相关危险因素分析。方法 选取2020年10月至2023年5月在玉林市第一人民医院确诊为类风湿性关节炎的患者66例为类风湿关节炎组,同期选择体检健康者33名为对照组,比较两组SAA、IL-6、CRP及T淋巴细胞亚群水平的差异。结果 类风湿性关节炎组SAA、IL-6、CRP、CD3+T%及CD4+T%水平高于对照组,CD8+T%水平低于对照组,差异有统计学意义(P<0。05)。Spearman相关分析结果显示,IL-6 与 SAA、CRP、CD3+T%及 CD4+T%呈正相关(P<0。05);CD4+T%与 SAA、IL-6、CRP、CD3+T%呈正相关(P<0。05);IL-6、CD4+T%分别与CD8+T%呈负相关(P<0。05)。二元logistic回归分析显示,SAA、IL-6、CRP、CD3+T%及CD4+T%是类风湿性关节炎患者的危险因素,而CD8+T%是该类患者保护因素(P<0。05)。结论 类风湿性关节炎患者SAA、IL-6、CRP是类风湿性关节炎患者的危险因素,T淋巴细胞亚群免疫异常与该疾病发生发展密切相关,多项目联合检测对类风湿性关节炎临床诊疗及评估病情有重要价值。
Application value of combined detection of SAA,IL-6,CRP and T lymphocyte subsets in patients with rheumatoid arthritis
Objective To investigate the application value of combined detection of serum amyloid A(SAA),interleukin-6(IL-6),C-reactive protein(CRP)and T lymphocyte subsets in patients with rheumatoid arthritis,so as to analyze the related risk factors.Methods Patients with rheumatoid arthritis diagnosed in the First People's Hospital of Yulin from October 2020 to May 2023 were selected as the rheumatoid arthritis group(n=66),while healthy people were selected as the control group(n=33).The differences of SAA,IL-6,CRP and T lymphocyte subsets between the two groups were compared.Results The levels of SAA,IL-6,CRP,CD3+T%and CD4+T%were higher in the rheumatoid arthritis group than in the control group,while the level of CD8+T%were lower than in the control group,with statistically significant differences(P<0.05).The Spearman correlation analysis results showed that IL-6 was positively correlated with SAA,CRP,CD3+T%and CD4+T%(P<0.05).CD4+T%was positively correlated with SAA,IL-6,CRP and CD3+T%(P<0.05).IL-6 and CD4+T%were negatively correlated with CD8+T%,respectively(P<0.05).Binary logistic regression analysis showed that SAA,IL-6,CRP,CD3+T%and CD4+T%were the risk factors of patients with rheumatoid arthritis,while CD8+T%was the protective factor for the patient(P<0.05).Conclusion The levels of SAA,IL-6,CRP in patients with rheumatoid arthritis are risk factors for those with rheumatoid arthritis,and the immune abnormality of T lymphocyte subsets is closely related to the occurrence and development of the disease.Multi-item combined detection is of great value for clinical diagnosis,treatment and evaluation of rheumatoid arthritis.

Rheumatoid arthritisSerum amyloid AInterleukin-6C-reactive proteinT lymphocyte subsets

何继浩、邹光美、吴博文、陈武、杨小兰、梁梅

展开 >

广西壮族自治区玉林市第一人民医院检验科,广西玉林 537000

广西壮族自治区玉林市第一人民医院风湿免疫科,广西玉林 537000

类风湿性关节炎 血清淀粉样蛋白A 白细胞介素-6 C反应蛋白 T淋巴细胞亚群

广西壮族自治区玉林市科学研究与技术开发计划项目

玉市科20204402

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(13)