心衰合并肾功能损害患者血清Gal-3和IL-6的变化及其临床意义

Jianlong Li, Haiming Li, Yichao Zhang, Xing Fan, Qian Wang, Zhe Li
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引用次数: 0

摘要

目的:探讨心力衰竭合并肾功能损害患者血清Gal-3和IL-6的变化及其临床意义。研究设计:分析性研究。研究地点和时间:2022年5月- 2023年5月,中国河北省保定河北大学附属医院肾内科。方法:选取2022年5月~ 2023年5月在河北省保定河北大学附属医院肾内科就诊的HF患者80例,根据肾小球滤过率(eGFR)分为肾功能正常组(n = 40)和肾功能损害组(n = 40)。比较两波段患者血清半乳糖-3 (Gal-3)和白细胞介素-6 (IL-6)值及其与肾功能损害的相关性,并利用受试者工作特征(ROC)曲线分析Gal-3和IL-6的敏感性和特异性。结果:肾功能损害带Gal-3和IL-6值高于正常肾功能带(p)。结论:HF合并肾功能损害患者血清Gal-3和IL-6值升高,两者与肾功能损害有显著相关性。关键词:心力衰竭,肾功能损害,半乳糖凝集素-3,白细胞介素-6蛋白
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Variations and Clinical Implications of Serum Gal-3 and IL-6 in Heart Failure Individuals Complicated with Renal Impairment.

Objective: To investigate the variations and clinical implications of serum Gal-3 and IL-6 values in individuals with heart failure (HF) complicated with renal impairment.

Study design: Analytical study. Place and Duration of the Study: Department of Nephrology, The Affiliated Hospital of Hebei University, Baoding, Hebei, China, from May 2022 to 2023.

Methodology: A total of 80 HF individuals who were treated in the Department of Nephrology, The Affiliated Hospital of Hebei University, Baoding, Hebei, China, from May 2022 to 2023, were classified into the normal renal function band (n = 40) and the renal impairment band (n = 40) according to glomerular filtration rate (eGFR). The serum galactose-3 (Gal-3) and interleukin-6 (IL-6) values and their correlation with renal impairment were compared between the two bands, along with an analysis of the sensitivity and specificity of Gal-3 and IL-6 using receiver operating characteristic (ROC) curves.

Results: There were higher Gal-3 and IL-6 values in the renal impairment band, in contrast to the normal renal function band (p <0.05). Spearman's correlation analysis indicated a significant association between Gal-3 and IL-6 values in HF individuals and renal impairment (p <0.05). The AUC values of Gal-3 and IL-6 in predicting renal impairment in HF individuals were <0.914 and <0.717, respectively; the specificity of Gal-3 and IL-6 in predicting renal impairment was 70.00% and 62.50%, respectively, the sensitivity was 97.50% and 80.00%, respectively.

Conclusion: HF individuals complicated with renal impairment have increased serum Gal-3 and IL-6 values, both of which are significantly associated with renal impairment.

Key words: Heart failure, Renal impairment, Galactose lectin-3, Interleukin-6 protein.

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