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急性阑尾炎患者血清免疫抑制酸性蛋白测定的意义
引用本文:刘学军,檀碧波,韩杰,耿玮. 急性阑尾炎患者血清免疫抑制酸性蛋白测定的意义[J]. 河北医药, 2009, 31(8)
作者姓名:刘学军  檀碧波  韩杰  耿玮
作者单位:1. 河北省人民医院药剂科,石家庄市,050051
2. 河北省人民医院普外二科,石家庄市,050051
摘    要:目的 探讨急性阑尾炎(AA)患者血清中免疫抑制酸性蛋白(IAP)水平的变化及意义.方法 检测151例AA患者术前、术后的血清IAP水平、外周血中性粒/淋巴细胞(N/L)比值等指标.结果 AA患者血清IAP水平均较对照组明显升高(P<0.01),坏疽或穿孔性AA较单纯性和化浓性AA组明显升高(P<0.01 ).3组AA患者术后第2天血清IAP水平较术前均有明显升高(P<0.01 );术后第5天有所下降,但仍较对照组为高(P<0.01).AA患者N/L比值明显高于对照组(P<0.01).对术前外周血白细胞计数正常的患者,用IAP和N/L比值联合检测,可提高对不典型急性阑尾炎诊断的准确性.结论 AA患者手术前后IAP检测能准确反映机体免疫抑制的程度,提高诊断准确性,指导临床治疗.

关 键 词:急性阑尾炎  免疫抑制酸性蛋白  中性粒/淋巴细胞比值

The clinical significance of detection of serum immunosuppressive acidic protein in patients with acute appendicitis
LIU Xuejun,TAN Bibo,HAN Jie,et al.. The clinical significance of detection of serum immunosuppressive acidic protein in patients with acute appendicitis[J]. Hebei Medical Journal, 2009, 31(8)
Authors:LIU Xuejun  TAN Bibo  HAN Jie  et al.
Affiliation:LIU Xuejun,TAN Bibo,HAN Jie,et al.Department of Pharmacy,Hebei Provincial People's Hospital,Shijiazhuang 050051,China
Abstract:Objective To investigate the change and its clinical significance of serum immunosuppressive acidic protein(IAP) in patients with acute appendicitis.Methods Serum IAP,leukocyte count and neutrophil: lymphocyte ratio(n:l ratio) were determined in 151 patients with acute appendicitis.Results The IAP levels in patients were significantly higher than those in control group(P<0.01).The IAP levels in patients with gangrenous or perforated appendicitis were significantly higher than those with simple or suppurativ...
Keywords:acute appendicitis  immunosuppressive acidic protein  neutrophil:lymphocyte ratio  
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