铁素-2,系统性免疫-炎症指数和性心肌病中短期不良心血管事件之间的关系
Yafei Zhang1, Dahe Han2, Chun Yang3
1Department of Critical Care, Xuzhou Mining Group General Hospital (The Second Affiliated Hospital of Xuzhou Medical University), Xuzhou, China. YafeiZhangZhang@hotmail.com.
Iranian journal of allergy, asthma, and immunology
|October 27, 2025
概括
提升的 thioredoxin-2 (Trx-2) 和全身免疫炎症指数 (SII) 在败血性心肌病 (SCM) 中预测主要不良心脏事件 (MACE). 较高的Trx-2和SII水平表明SCM患者的短期MACE风险增加.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 生物标志物 生物标志物
背景情况:
- 败血性心肌病 (SCM) 是败血症的严重并发症,与心脏功能障碍和死亡率的增加有关.
- 确定可靠的生物标志物来预测SCM患者的短期主要不良心脏事件 (MACE) 对于及时干预至关重要.
研究的目的:
- 为了研究血清硫素-2 (Trx-2) 水平,全身免疫炎症指数 (SII) 和SCM患者短期MACE的发病率之间的关联.
主要方法:
- 一项回顾性研究包括98名SCM患者,根据28天的结果分为MACE和非MACE组.
- 使用后勤回归和受限立方线模型来分析SII,Trx-2和MACE风险之间的关系.
- 接收机运行特征 (ROC) 曲线分析评估了SII和Trx-2的预测性能,单独和组合.
主要成果:
- 血清SII和Trx-2水平升高与SCM患者28天MACE风险增加显著相关.
- 在增加SII或Trx-2水平和短期MACE风险之间观察到线性剂量反应关系.
- SII和Trx-2的组合显示了MACE的高预测值 (AUC=0.926),表现优于单个标志物.
结论:
- 血清SII和Trx-2的异常增加与SCM中短期MACE发生有关.
- 血清SII和Trx-2作为SCM患者短期MACE的有价值的预测生物标志物.
- 监测SII和Trx-2水平可以帮助SCM的风险分层和管理.
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