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结直肠癌患者外周血可溶性IL-2受体和IL-6水平变化与患者生活质量及临床预后的关系

发布时间:2018-08-18 10:37
【摘要】:目的探讨结直肠癌患者外周血可溶性白细胞介素-2受体(sIL-2R)和白细胞介素(IL)-6水平变化与患者生活质量和临床预后的关系。方法选择结直肠癌患者86例为结直肠癌组,另选择同期健康体检者47例为对照组,采用酶联免疫吸附法测定两组sIL-2R和IL-6水平,分析sIL-2R和IL-6水平与结直肠癌患者临床资料、术后生活质量及临床预后的关系。结果结直肠癌组外周血sIL-2R和IL-6水平显著高于对照组(P0.05);外周血sIL-2R和IL-6水平与结直肠癌患者的年龄、性别、肿瘤大小、肿瘤位置、分化程度无关(P0.05);有淋巴结转移者sIL-2R和IL-6水平显著高于无淋巴结转移者,TNF分期Ⅲ~Ⅳ期者sIL-2R和IL-6水平显著高于Ⅰ~Ⅱ期者(P0.05);sIL-2R和IL-6高水平组健康状况调查问卷(SF-36)评分、终点事件发生率与sIL-2R和IL-6低水平组比较差异有统计学意义(P0.05)。结论 sIL-2R和IL-6在结直肠癌患者中呈高水平表达,其表达水平与淋巴结转移情况和临床分期有关,高水平IL-2R和IL-6者术后生活质量较低,临床预后较差。
[Abstract]:Objective to investigate the relationship between the levels of soluble interleukin-2 receptor (sIL-2R) and interleukin-6 (IL) -6) in peripheral blood of patients with colorectal cancer and their quality of life and clinical prognosis. Methods 86 patients with colorectal cancer and 47 healthy controls were selected as control group. The levels of sIL-2R and IL-6 were measured by enzyme-linked immunosorbent assay (Elisa), and the clinical data of sIL-2R and IL-6 were analyzed. The relationship between postoperative quality of life and clinical prognosis. Results the levels of sIL-2R and IL-6 in peripheral blood of colorectal cancer group were significantly higher than those in control group (P0.05), and the levels of sIL-2R and IL-6 in peripheral blood were significantly higher than those in control group (P0.05). The levels of sIL-2R and IL-6 in patients with lymph node metastasis were significantly higher than those in patients without lymph node metastasis, and the levels of sIL-2R and IL-6 in patients with stage 鈪,

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