检验医学 ›› 2014, Vol. 29 ›› Issue (9): 952-954.DOI: 10.3969/j.issn.1673-8640.2014.09.018

• 临床应用研究·论著 • 上一篇    下一篇

血清维生素D3、可溶性髓系细胞触发受体1水平对老年肺炎诊断价值

董奕裕1,陶志华1,沈丽丽2,陈群2   

  1. 1. 温州医科大学,浙江 温州 325035;
    2. 浙江荣军医院呼吸内科,浙江 嘉兴 314000
  • 收稿日期:2014-05-27 出版日期:2014-09-30 发布日期:2014-09-25
  • 通讯作者: 陶志华,联系电话:0571-87784520
  • 作者简介:董奕裕,男,1968年生,学士,主管技师,主要从事临床免疫学研究
  • 基金资助:
    嘉兴市科技局计划项目(2013AY21065)

Significance of serum vitamin D3 and soluble myeloid cell trigger receptor 1 level for the diagnosis of senile pneumonia

DONG Yiyu1, TAO Zhihua1, SHEN Lili2, CHEN Qun2   

  1. 1. Wenzhou Medical University, Zhejiang Wenzhou 325035, China;
    2. Department of Pulmonology, Rongjun Hospital of Zhejiang, Zhejiang Jiaxing 314000, China
  • Received:2014-05-27 Online:2014-09-30 Published:2014-09-25

摘要: 目的 通过检测老年肺炎患者血清可溶性髓系细胞触发受体1(sTREM-1)、维生素D3(VitD3)水平,探讨sTREM-1、VitD3与老年肺炎的关系,为临床诊断与治疗提供依据。方法 选取63例老年肺炎患者为病例组,健康者30名作为对照组。用酶联免疫吸附试验(ELISA)检测sTREM-1、电化学发光法检测血清VitD3水平,并进行组间比较。结果 老年肺炎组血清sTREM-1水平[234.80±68.90)pg/mL]明显高于对照组[(74.20±41.20)pg/mL],差异有统计学意义(P<0.01);老年肺炎组血清VitD3水平[(18.92±7.27)pg/mL]明显低于对照组[(33.75±9.28)pg/mL],差异有统计学意义(P<0.05);sTREM-1的受试者工作特征(ROC)曲线下面积为0.916,VitD3的ROC曲线下面积为0.897。结论 sTREM-1、VitD3是肺炎诊断的良好指标,对老年肺炎诊断有一定的帮助。

关键词: 可溶性髓系细胞触发受体1, 维生素D3, 老年肺炎

Abstract: Objective Through the detections of serum soluble myeloid cell trigger receptor 1 (sTREM-1) and vitamin D3 (VitD3) levels in senile pneumonia patients, to investigate the relations of sTREM-1 and VitD3 with senile pneumonia, and to provide the reference for clinical diagnosis and treatment. Methods A total of 63 patients with senile pneumonia were enrolled, and 30 healthy subjects were enrolled as control group.sTREM-1 was determined by enzyme-linked immunosorbent assay (ELISA), and electrochemiluminescence was used to determine serum level of VitD3. The results were analyzed comparatively between the 2 groups. Results The sTREM-1 in senile pneumonia group [(234.80±68.90)pg/mL] was significantly higher than that in control group[(74.20±41.20)pg/mL] with statistical significance (P<0.01).VitD3 level in senile pneumonia group [(18.92±7.27)pg/mL] wassignificantly lower than that in control group[(33.75±9.28)pg/mL] with statistical significance (P<0.05). The areas under receiver operating characteristic (ROC) curve were 0.916 for sTREM-1 and 0.897 for VitD3. Conclusions VitD3 and sTREM-1 are good indicators for the diagnosis of senile pneumonia.

Key words: Soluble myeloid cell trigger receptor 1, Vitamin D3, Senile pneumonia

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