消化性溃疡出血患者血清及胃液中白细胞介素的表达与幽门螺杆菌感染的关系

Relationship between expression of interleukin in serum as well as gastric juice of patients with peptic ulcer bleeding and Helicobacter pylori infection

  • 摘要: 目的 探讨消化性溃疡出血患者血清及胃液中白细胞介素的表达与幽门螺杆菌感染的关系。 方法 选择消化性溃疡患者320例作为研究对象,分为溃疡组60例与溃疡出血组260例,另外选择同期体检确诊为普通浅表性溃疡的50例患者作为对照组。比较3组患者血清和胃液中白细胞介素-6(IL-6)、白细胞介素-8(IL-8)水平,并比较溃疡出血组幽门螺杆菌阳性与阴性患者血清和胃液IL-6、IL-8水平。 结果 溃疡出血组患者的血清IL-6、IL-8和胃液IL-6、IL-8水平均高于溃疡组与对照组,差异有统计学意义(P<0.05)。溃疡组患者的血清IL-6、IL-8和胃液IL-6、IL-8水平均高于对照组,差异有统计学意义(P<0.05)。溃疡出血组患者幽门螺杆菌阳性例数为115例(44.23%), 幽门螺杆菌阴性145例(55.77%)。溃疡出血组的幽门螺杆菌阳性患者血清IL-6、IL-8和胃液IL-6、IL-8水平高于幽门螺杆菌阴性患者,差异有统计学意义(P<0.05)。 结论 血清IL-6、IL-8和胃液IL-6、IL-8水平在消化性溃疡出血患者中高表达,且与消化性溃疡出血的发病及幽门螺杆菌感染有密切联系。

     

    Abstract: Objective To investigate the relationship between the expression of interleukin in serum as well as gastric juice and Helicobacter pylori infection in patients with peptic ulcer hemorrhage. Methods A total of 320 patients with peptic ulcer were selected as the research objects and divided into ulcer group(n=60)and ulcer bleeding group(n=260). In addition, 50 patients diagnosed as common superficial ulcer in physical examination during the same period were selected as control group. The levels of interleukin-6(IL-6)and interleukin-8(IL-8)in serum and gastric juice of patients in the three groups were compared, and the levels of IL-6 and IL-8 in serum and gastric juice of Helicobacter pylori positive andnegative patients in the ulcer bleeding group were compared. Results The levels of serum IL-6, IL-8, gastric juice IL-6 and IL-8 in the ulcer bleeding group were significantly higher than those in the ulcer group and the control group(P<0.05). The levels of IL-6 and IL-8 in serum and gastric juice in the ulcer group were significantly higher than those in the control group(P<0.05). In the ulcer bleeding group, the number of Helicobacter pylori positive cases was 115(44.23%), while the number of Helicobacter pylori negative cases was 145(55.77%). The levels of serum IL-6, IL-8, gastric juice IL-6 and IL-8 in patients with Helicobacter pylori positive in the ulcer bleeding group were significantly higher than those of Helicobacter pylori negative ones(P<0.05). Conclusion The levels of serum IL-6, IL-8, gastric juice IL-6 and IL-8 are highly expressed - in patients with peptic ulcer bleeding and their levels are closely related to the pathogenesis of peptic ulcer bleeding and Helicobacter pylori infection.

     

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