缺氧诱导因子-1α是预测败血症患者的生物标志物
Zewen Tong1, Guangjian Wang1, Wei Huang2
1Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
The Journal of international medical research
|September 29, 2023
概括
血清缺氧诱导因子-1α (HIF-1α) 是诊断败血症和预测患者结果的有价值生物标志物. 败血症患者的HIF-1α水平较高表明预后较差.
科学领域:
- 生物化学 生物化学
- 临床医学 临床医学
- 生物标志物发现发现
背景情况:
- 败血症是一种危及生命的器官功能障碍,是由宿主对感染的反应失调引起的.
- 确定可靠的生物标志物用于早期诊断和预后对于有效的败血症管理至关重要.
研究的目的:
- 评估血清缺氧诱导因子-1α (HIF-1α) 度作为毒症患者的潜在生物标志物.
- 将HIF-1α的诊断和预后值与现有的临床评分和生物标志物进行比较.
主要方法:
- 血清HIF-1α水平使用酶相关免疫吸收试验 (ELISA) 在四组患者中进行测量:ICU控制,感染,败血无冲击和败血冲击.
- 临床数据和实验室结果,包括APACHE II评分,公素和乳酸,在ICU入院时收集.
主要成果:
- 与ICU对照组相比,感染,败血无冲击和败血冲击患者的血清HIF-1α度显著升高.
- 与APACHE II评分,前素和乳酸相比,HIF-1α显示出较优的败血症诊断能力.
- 血清HIF-1α度超过161.14 pg/mL的败血症患者的预后不佳.
结论:
- 血清HIF-1α作为一个有价值的生物标志物用于诊断败血症.
- 在败血症患者中,HIF-1α度是预后的重要预测因素.
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