糖尿病足细菌感染患者感染深度、C-反应蛋白、肿瘤坏死因子α、白介素-6及免疫蛋白水平与下肢血管病变的关系

Relationships between the depth of infections, C-reactive protein, tumor necrosis factor-α, interleukin-6 and immune protein with lower extremity vascular disease in patients with diabetic foot bacterial infections

  • 摘要: 目的 探讨糖尿病足细菌感染患者感染深度、C-反应蛋白(CRP)、肿瘤坏死因子α(TNF-ɑ)、白介素-6(IL-6)及免疫蛋白水平与下肢血管病变(PAD)程度的关系,以期寻找二者间关系提供数据依据。方法 选取医院2010年1月-2015年12月收治糖尿病足细菌感染患者435例,根据是否合并PAD分为合并组213例,未合并组222例,两组患者于入院后进行PAD程度及感染深度划分,于次日抽取肘静脉血标本进行炎性因子及免疫因子水平测定,观察两组患者不同感染深度、不同PAD程度间炎性因子及免疫因子水平。结果 合并组感染越深发生PAD程度越高(P<0.05),明显高于未合并组PAD同级别(P<0.05),两组患者炎性因子水平越高发生PAD程度越高(P<0.05),且合并组高于未合并组同炎性因子指标PAD同级别(P<0.05),两组患者免疫因子水平越低发生PAD程度越高(P<0.05),且合并组高于未合并组同免疫因子指标PAD同级别(P<0.05)。结论 糖尿病足细菌感染患者感染深度,CRP、TNF-ɑ、IL-6及免疫蛋白水平均与PAD具有相关性。

     

    Abstract: OBJECTIVE To investigate the relationships between the depth of infections, C-reactive protein (CRP), tumor necrosis factor-alpha(TNF-ɑ), interleukin-6(IL-6) and immune protein levels with lower extremity vascular disease (PAD) degree in patients with diabetic foot bacterial infections, in order to provide the data basis for finding the relationships between them. METHODS A total of 435 cases of patients with diabetic foot bacterial infections in hospital from Jan. 2010 to Dec. 2015 were selected, and were divided into combined group of 213 cases and uncombined group of 222 cases according to whether complicated with PAD. The PAD degree and depth of infection division of the two groups of patients were measured after admission, and the inflammatory factors and immune factors levels were determined on the following day. The levels of inflammatory factors and immune factors were observed in two groups of patients with different infection depths and different PAD levels. RESULTS The PAD degree was higher with deeper infection in patients of combined group(P<0.05), which was significantly higher than the patients of uncombined group with the same level (P<0.05. The PAD degree was higher with higher levels of inflammatory factors in the two groups(P<0.05), and combined group was higher than that in uncombined group with the same inflammatory factor index and same level of PAD(P<0.05), and the PAD degree was higher with lower levels of immune factors in the two groups(P<0.05), and combined group was higher than that in uncombined group with the same immune factors and same level of PAD(P<0.05). CONCLUSION The depth of infections, inflammatory factor CRP, TNF-ɑ, IL-6 and immune protein levels were associated with PAD in patients with diabetic foot bacterial infections.

     

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