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1、急性胰腺炎早期IL—6动态变化和其临床意【摘要】目的：探讨急性胰腺炎早期IL-6变化及与疾病严重程度相关性。方法：选取2008年2月-2013年2月本院住院的101例AP患者，根据病情程度将其分为轻症组43例，中重症组31例，重症组27例，同时选取30例健康查体者作为对照组。应用双抗体夹心免疫发光法测定患者第1、3、7、10天血清中IL-6含量，比较三组患者之间IL-6含量变化。结果：在组间比较中，轻症患者dl、d3及d7血清IL-6含量明显高于对照组，差异均有统计学意义(P0.05)；中重症及重症患者dl、d3、d7及dlO血清IL-6含量明
2、显高于对照组，中重症患者四次测量IL-6含量水平明显高于轻症患者，重症患者四次测量IL-6含量水平明显高于中重型及轻型，比较差异均有统计学意义(P0.05)。结论：血清IL-6含量动态变化可以作为胰腺炎病情发展的监控指标。【关键词】急性胰腺炎；早期；IL-6；动态变化EarlyDynamicChangesofIL-6inAcutePancreatitisandItsClinicalSignificance/LIShao-jun,ZHANGCui-sheng,SUNShi-jie,etal.//MedicalInnovationofChina,2
3、014,11(01)：008-010[Abstract】Objective：ToinvestigatethechangesofIL-6inearlystageofacutepancreatitisanditscorrelationwithdiseaseseverity.Method：OnehundredandonepatientswithacutepancreatitisinourhospitalfromFebruary2008toFebruary2013wereselected,accordingtotheseverityofdiseaset
4、heyweredividedintothemildgroupfor43cases,themoderategroupfor31cases,theseveregroupfor27cases,atthesametime30healthypeoplewereselectedasthecontrolgroup.IL-6inserumwasdetectedbydoubleantibodysandwichchemiluminescentimmunoassayinthefirst,third,seventh,tenthday,changesintheconte
5、ntofIL~6inthreegroupswerecompared.ResuIt：Inthecomparisonofgroups,thecontentofserumIL-6ofmildpatientsindl,d3andd7weresignificantlyhigherthanthoseinthecontrolgroup,thedifferenceswerestatisticallysignificant(P0.05)・TheserumIL-6contentofmoderateandseverepatientsindl,d3,d7anddlOw
6、eresignificantlyhigherthanthatofthecontrolgroup,inmoderatepatientswithfourtimesofmeasurementofIL~6contentlevelwassignificantlyhigherthanthemildpatients,severepatientswithfourtimesofmeasurementofIL—6contentwassignificantlyhigherthanthatofmoderateandmildpatients,thedifferences
7、werestatisticallysignificant(P0.05).Conclusion：SerumIL-6contentchangescanbeusedasamonitoringindexofthedevelopmentofpancreatitis.【Keywords］Acutepancreatitis；Early；IL-6；DynamicchangeFirst-author'saddress:YantaiYuhuangdingHospitalAffiliatedtoQingdaoUniversityMedicalCollege,Yant
8、ai264000,Chinadoi：10.3969/j.issn.1674-4985.2014.01.004急性胰腺炎(acutepancreatit
