炎症在婴儿中的作用 - - 一个系统性审查和元分析
Dan Boëtius Andersen1, Julius Fog1, Marie V Vestergaard2
1Department of Public Health, Centre for General Practice, University of Copenhagen, Copenhagen, Denmark.
婴儿结肠与肠道炎症有关,在受影响的婴儿中观察到便中calprotectin水平升高. 这表明炎症在结肠中起作用,便calprotectin可能是一个有用的诊断标记物.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 婴儿结肠,虽然自我限制,对婴儿和照顾者产生负面影响.
- 肠道炎症被怀疑是导致婴儿结肠发作的因素.
研究的目的:
- 系统地审查和分析有关婴儿结肠和肠道炎症之间关联的最新证据.
- 调查免疫标记的作用,特别是便calprotectin,在婴儿.
主要方法:
- 一个系统的PubMed搜索发现了124篇文章,其中8篇在排除后被包含.
- 关于便calprotectin的数据是从四项研究中提取的,其中包括227名患有的婴儿和166名健康对照.
- 对便calprotectin统计数据进行了元分析.
主要成果:
- 在六项研究中的五项中,便中calprotectin在患有的婴儿中显著升高.
- 分析显示,便中calprotectin水平的平均差异为49.5μg/g (95%CI:43-56,p < 0.0001).
- 在一项研究中,MCP-1,MIP-1β和IL-8的水平升高,而其他生物标志物没有显著差异.
结论:
- 有证据表明,在婴儿中存在炎症反应,支持肠道炎症在其发病过程中的作用.
- 便calprotectin显示出作为一种有价值的诊断工具的潜力,用于识别婴儿.
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