血清IL-8、LPS表达水平与重症急性胰腺炎患者短期预后的关系OA
Relationship Between Serum IL-8,LPS Expression Levels and Short-Term Prognosis of Patients with Severe Acute Pancreatitis
目的:探讨血清白细胞介素-8(IL-8)、内毒素(LPS)表达水平与重症急性胰腺炎(SAP)患者短期预后的关系,为临床早期评估患者病情及预后提供新的参考指标.方法:选取 2022 年 1 月—2025 年 1 月于武警广东总队医院就诊的 120 例SAP患者为研究对象,根据患者短期预后情况分为预后良好组(n=98)和预后不良组(n=22),检测两组血清IL-8、LPS表达水平,分析其与患者短期预后的相关性.结果:预后不良组血清IL-8、LPS表达水平均高于预后良好组,差异有统计学意义(P<0.05).血清IL-8、LPS表达水平均为SAP患者短期预后的独立危险因素,ROC曲线分析显示其对患者短期预后具有一定的预测价值.结论:血清IL-8、LPS表达水平与SAP患者短期预后密切相关,联合检测可为早期评估患者预后提供重要依据,为制定个性化治疗方案提供参考.
Objective:To explore the relationship between the expression levels of serum interleukin-8(IL-8)and endotoxin[Lipopolysaccharide(LPS)]and the short-term prognosis of patients with severe acute pancreatitis(SAP),and to provide new reference indicators for the early clinical assessment of patients'conditions and prognosis.Method:120 SAP patients who visited the Hospital of the Guangdong Armed Police Corps from January 2022 to January 2025 were selected as the research subjects.Patients were classified into a favorable prognosis group(n=98)and an unfavorable prognosis group(n=22)based on their short-term prognosis.The expression levels of serum IL-8 and LPS in the two groups were detected,and their correlations with the short-term prognosis of the patients were analyzed.Result:Serum IL-8 and LPS expression levels were higher in the poor prognosis group than in the favorable prognosis group,and the difference was statistically significant(P<0.05).The expression levels of serum IL-8 and LPS are both independent risk factors for the short-term prognosis of SAP patients.ROC curve analysis shows that they have certain predictive value for the short-term prognosis of patients.Conclusion:Serum IL-8 and LPS expression levels are closely associated with the short-term prognosis of SAP patients.The combined detection can provide an important basis for the early assessment of the prognosis of patients and a reference for formulating personalized treatment plans.
成赋斌;吴文进
武警广东总队医院 广东 广州 510507武警广东总队医院 广东 广州 510507
重症急性胰腺炎白细胞介素-8血清内毒素炎症因子
Severe acute pancreatitisSerum IL-8SerumLipopolysaccharideInflammatory factors
《中外医学研究》 2026 (1)
25-28,4
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