[血清酸性可溶性糖蛋白(ASP)和免疫抑制酸性蛋白(IAP)在炎症性疾病和肝脏疾病中的临床意义]。

K Shibasaki, K Soga, M Toshima, K Aikawa, T Itoh, Y Takahashi, M Tsuchimochi, I Mataga, K Tsuchikawa, J Kato
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引用次数: 0

摘要

为了研究ASP和IAP的临床意义,我们测定了259例炎症性疾病、非炎症性疾病、自身免疫性疾病和肝脏疾病患者血清ASP和IAP的浓度。ASP与IAP呈显著高相关(相关系数= 0.922)。ASP、IAP水平与红细胞沉降率(ESR)、c反应蛋白(CRP)有较好的相关性。ESR与ASP、IAP的相关系数分别为0.705、0.673;CRP与ASP、IAP的比值分别为0.621、0.623。血凝试验(TT)和肝活素试验(HPT)与ASP水平存在食物相关性。炎性疾病患者ASP、IAP阳性率及平均浓度均显著高于非炎性疾病患者。提示血清ASP、IAP可作为评价炎症性疾病患者临床病程的有用指标之一。慢性肝病患者血清ASP、IAP水平均低于正常人,尤其是失代偿期肝硬化和慢性肝炎(活动性)患者血清水平明显低于正常人。肝硬化肝癌患者血清ASP、IAP水平明显低于无肝硬化肝癌患者。肝脏疾病中ASP、IAP的测定对于评估疾病的严重程度、治疗效果和预测预后具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical significance of serum acid soluble glycoproteins (ASP) and immunosuppressive acidic protein (IAP) in inflammatory diseases and liver diseases].

In order to study the clinical significance of ASP and IAP, we have measured serum concentration of ASP and IAP in 259 patients with inflammatory diseases, non-inflammatory diseases, autoimmune diseases and liver diseases. Significantly higher correlation (coefficient of correlation = 0.922) was found between ASP and IAP. There were good correlation between ASP, IAP levels and erythrocyte sedimentation rate (ESR), C-reactive protein (CRP). Coefficient of correlation were 0.705 and 0.673 between ESR and ASP, IAP; 0.621 and 0.623 between CRP and ASP,IAP, respectively. There were food correlations between ASP levels and thrombo test (TT) and hepaplastin test (HPT). The positive rate and mean concentration of ASP, IAP in patients with inflammatory diseases were significantly higher than noninflammatory diseases. It is suggested that serum ASP, IAP could be one of the useful indicator for evaluating the clinical course of patients with inflammatory diseases. Serum concentration of ASP, IAP in patients with chronic liver diseases were lower than normal subjects, especially serum levels in patients with decompensated liver cirrhosis and chronic hepatitis (active) were significantly lower than normal subjects. In patients with hepatoma with cirrhosis, serum levels of ASP, IAP were significantly lower than the hepatoma patients without cirrhosis. The determination of ASP, IAP in liver diseases seems to be useful for evaluating the severity of diseases, the effects of therapy and the forecast of prognosis.

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