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宫颈上皮内廇变患者血清炎性、免疫因子水平和病毒载量的变化及其临床意义

Changes in serum inflammatory,immune factor and viral load in patients with CIN and their clinical significances

  • 摘要: 目的 观察宫颈上皮内廇变(CIN)患者血清IL-10、IL-5、IL-4及免疫因子水平的变化,并分析其临床意义。方法 选取2016年3月-2017年3月在湖南省妇幼保健院接受治疗的CIN患者为研究对象,同时选取同期在湖南省妇幼保健院体检的健康成年人作为对照。观察两组研究对象、不同临床分期CIN患者血清IL-10、IL-5、IL-4及免疫因子水平的差异,比较不同临床分期CIN患者HPV病毒载量的差异,分析CIN患者IL-10、IL-5、IL-4水平与HPV病毒载量和临床分期的相关性。结果 观察组患者的IL-10、IL-5、IL-4水平高于对照组,IFN-γ和TNF-α水平低于对照组;观察组患者的HPV病毒载量明显高于对照组(t=-30.885,P<0.001);CINⅡ+Ⅲ期患者IL-10、IL-5、IL-4水平高于CINⅠ期患者,IFN-γ和TNF-α水平低于CINⅠ期患者;CINⅡ+Ⅲ期患者的HPV病毒载量明显高于CINⅠ期患者(t=-6.541,P<0.001);CIN患者HPV病毒载量与IL-10、IL-5、IL-4水平和临床分期正相关,与IFN-γ和TNF-α水平呈负相关。结论 CIN患者血清IL-10、IL-5、IL-4水平较高,IFN-γ和TNF-α水平较低,且与临床分期和病毒载量密切相关。

     

    Abstract: Objective To observe the changes of the serum IL-10, IL-5, IL-4 and the levels of immune factors of cervical intraepithelial neoplasms (CIN) patients, and to analyze their clinical significances.Methods A total of 80 CIN patients treated in our hospital from March 2016 to March 2017 were selected as the observation group, and 80 healthy women who underwent physical examination in our hospital were selected as the control group. Observe The differences in serum IL-10, IL-5, IL-4 and the levels of immune factors between the observation group and the control group, and among the different clinical stages of CIN patients were compared. And, the difference in HPV virus load among different clinical stages of CIN patients was compare. The correlations between the levels of IL-10, IL-5, IL-4 sand HPV viral load of volume and clinical stages of CIN patients were analyzed.Results The levels of IL-10, IL-5 and IL-4 of the observation group were higher than those of the control group, and the levels of IFN-γ and TNF-α were lower than those of the control group. The HPV viral load of the observation group was significantly higher than that in the control group (t=-30.885, P< 0.001). The levels of IL-10, IL-5 and IL-4 of patients with CIN II and III were higher than those of stage CIN I, and the levels of IFN-gamma and TNF-alpha were lower than those of CIN stageⅠ. The HPV viral load of patients with CIN II and III was significantly higher than that of stage CIN I patients (t=-6.541, P< 0.001). The HPV viral load was positively correlated with the levels of IL-10, IL-5, IL-4 and clinical stages of CIN patients, and it was negatively correlated with the levels of IFN-γ and TNF-α.Conclusion The levels of serum IL-10, IL-5, IL-4 of CIN patients were higher. The levels of IFN-γand TNF-α of CIN patients were lower. The levels of serum IL-10, IL-5, IL-4, IFN-γ and TNF-α are closely related with the clinical stage and the viral load of CIN patients.

     

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