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血清性酸酶升高作为消化系统癌症的手术前皮性生物标志物:一个回顾性队列研究
Kohta Asano1,2, Kae Tachibana3, Satoru Shinoda4
1Department of Rehabilitation Medicine, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan. uncle_harry.7@outlook.com.
概括
血清性酸酶 (ALP) 升高可能表明在术前消化道癌症患者中存在症风险. 这种慢性炎症标志物可以帮助确定在手术前需要干预的患者.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 老年病的医生 老年病的医生
- 生物化学 生物化学
背景情况:
- 肉症与手术前患者的预后不佳和术后并发症有关.
- 癌症患者的肉类的机制尚未完全理解.
- 慢性炎症与sarcopenia的发展有关.
研究的目的:
- 调查血清性酸酶 (ALP) 的升高是否可以作为消化系统癌症患者手术前的肉症标志物.
- 在这个患者群体中,探索ALP指示的慢性炎症和肉症之间的关联.
主要方法:
- 对274名消化道癌症患者的电子病历进行了回顾性分析.
- 根据外科手术前查,患者被分类为sarcopenia (SC) 和non-sarcopenia (NSC) 组.
- 进行了统计分析,考虑了诸如年龄,肝功能和骨折等混因素.
主要成果:
- 血清ALP水平在肉症组 (168.4U/L) 与非肉症组 (100.4U/L) 相比显著更高.
- 升高的ALP与肉症风险有显著的相关性 (p=0.0018,OR=1.0055).
- 观察到组之间的白蛋白,血红蛋白,中性粒细胞与淋巴细胞的比率以及营养不良参数之间存在显著差异.
结论:
- 血清ALP升高,可能是由于慢性炎症,与手术前消化系统癌症患者的肉类相关.
- 在这种人群中,ALP可以作为一种有用的生物标志物来识别肉症风险.
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