喉回流的消化生物标志物:初步前性受控研究
Jerome R Lechien1,2,3,4,5, Lisa G De Marrez6, Stephane Hans3
1Division of Laryngology and Broncho-esophagology, Department of Otolaryngology-Head Neck Surgery, EpiCURA Hospital, Baudour, Belgium.
唾液分析显示,喉回流 (LPR) 患者的弹性酶和性pH值较高,这表明潜在的非侵入性诊断生物标志物. 在LPR患者中,胆固醇水平较低,与症状严重程度相关.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 生物化学 生物化学
背景情况:
- 喉回流 (Laryngopharyngeal reflux,简称LPR) 是一种胃内含物流入喉的情况.
- 目前的诊断方法可能具有侵入性,这凸显了对非侵入性生物标志物的需求.
研究的目的:
- 为了确定LPR.的潜在唾液生物标志物.
- 为了比较LPR患者和无症状个体的唾液中的消化酶和生物标志物.
主要方法:
- 一项前性多中心对照研究,涉及67名LPR患者和57名无症状患者.
- 唾液样本分析了pH值,弹性酶,胆盐,胆固醇,胃脂酶和胰腺脂酶.
- 患者报告的结果包括感知压力尺度 (PSS),反流症状得分 (RSS) 和反流症状评估 (RSA).
主要成果:
- 与对照组相比,LPR患者表现出明显更高的唾液弹性酶度和更性的pH值.
- 在LPR患者中,唾液胆固醇水平显著降低.
- 唾液pH和弹性酶与反流症状严重程度相关,而胆固醇与症状和症状严重程度相反相关.
结论:
- 唾液弹性酶,胆固醇和胆汁盐显示为用于LPR检测的生物标志物具有前途.
- 这些发现支持使用唾液分析开发LPR的非侵入性诊断工具.
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