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小儿鼾症手术前后血浆生物标志物的变化及临床意义
引用本文:万玉峰,刘业海,胡晓春,刘龙生.小儿鼾症手术前后血浆生物标志物的变化及临床意义[J].安徽医科大学学报,2015(6):876-878.
作者姓名:万玉峰  刘业海  胡晓春  刘龙生
作者单位:安徽医科大学附属巢湖医院耳鼻咽喉科,合肥,238000;安徽医科大学第一附属医院耳鼻咽喉 - 头颈外科,合肥,230022
基金项目:安徽高校省级自然科学研究项目
摘    要:探讨小儿鼾症患者行扁桃体和(或)腺样体手术对与心血管疾病密切相关的血浆生物标志物的影响。选取单纯非肥胖型小儿鼾症患者20例,进行术前和术后6个月血浆超敏 C 反应蛋白(hs-CRP)、肿瘤坏死因子α(TNF-α)、白介素6(IL-6)、脂联素和胎球蛋白 A 的水平的测定,结果显示术后6个月的血浆 hs-CRP、TNF-α、IL-6、脂联素的水平均明显低于相应的术前水平(P <0.001),胎球蛋白 A 的水平均明显高于相应的术前水平(P <0.001)。小儿鼾症患者进行扁桃体和(或)腺样体切除术有助于降低其并发心血管疾病的风险。

关 键 词:小儿鼾症  扁桃体和(或)腺样体切除术  血浆生物标志物

The clinical significance and change of plasma biomarkers before and after operation in children snoring patients
Abstract:Abstrct To investigate the impact of tonsils and / or adenoidectomy on the plasma biomarkers closely related with the cardiovascular disease in snoring children. 20 patients in snoring children were recruited. Preoperative values of the levels of plasma biomarkers(hs-CRP,TNF-α,IL-6,adiponectin,fetuin-A)of the participants were recorded preoperatively and at postoperative 6 months( tonsils and / or adenoidectomy). Results showed the levels of hs-CRP,TNF-α,IL-6 and adiponectin were significantly lower than the corresponding levels of preoperative,whereas the levels of fetuin-A increased remarkbly(P < 0. 05). The risks of development of cardiovascular disease are de-creased in association with tonsils and / or adenoidectomy in snoring children.
Keywords:children snoring disease  tonsils and/or adenoidectomy  plasma biomarkers
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