白介素33对慢性支气管炎患者呼吸道分泌物清除的影响

Effects of interleukin-33 on cleaning of respiratory tract secretion of the patients with chronic bronchitis

  • 摘要: 目的 研究白介素33(IL-33)对于慢性支气管炎患者呼吸道分泌物清除的影响,并对患者症状的影响进行探讨。方法 选取2014年4月-2016年4月在医院进行治疗的慢性支气管炎患者90例为观察组,健康志愿者60名为对照组,对其血清IL-33表达量进行检测,慢性支气管炎患者以均值为界,将观察组患者分为高表达与低表达组,对两组患者呼吸道分泌物清除能力进行评估。结果 IL-33在慢性支气管炎患者的表达明显高于健康志愿者;在IL-33高表达的慢性支气管炎患者中,右肺在20、40、60、80、120 min的保留率均小于低表达患者,在右肺的外周区域中高表达IL-33的清除率也始终低于低表达IL-33组,IL-33的表达对左肺的影响稍弱,整体上仅有20与40 min处差异有统计学意义(P<0.05),而IL-33对于左肺中心区域的影响则稍大,在20、40、60 min处差异均有统计学意义(P<0.05)。结论 IL-33在慢性支气管炎患者中高表达,但对慢性支气管炎的症状无影响,同时IL-33能够明显影响患者右肺呼吸道分泌物的清除,对于左肺呼吸道分泌物的清除则稍弱。

     

    Abstract: OBJECTIVE To investigate the effects of interleukin-33(IL-33) on the cleaning of respiratory tract secretion of the patients with chronic bronchitis, and study the influence on patient's symptom. METHODS A total of 90 cases of chronic bronchitis patients and 60 health volunteers from Apr. 2014 to Apr. 2016 were selected as observation group and control group. The serum expressions of IL-33 of the subjects were detected. The patients of observation group were divided into high expression group and low expression group using mean value as the boundary, and the clearance abilities of respiratory tract secretion of patients were evaluated in both groups. RESULTS The expression of IL-33 was remarkably higher in chronic bronchitis patients than in healthy volunteers. The retention of right lung of the patients with high expression of IL-33 in 20, 40, 60, 80, and 120min were all lower than those with low expression. The clearance rate in the peripheral region of right lung in the patients with high expression was also lower than that with low expression. Impact of IL-33 expression was slightly weak in left lung and there were significances only in 20, 40min(P<0.05). The influence of IL-33 on the central region of left lung was stronger, there were significances in 20, 40, and 60 min(P<0.05). CONCLUSION IL-33 overexpresses in patients with chronic bronchitis but has no effects on the symptom of chronic bronchitis. At the meantime, IL-33 can significantly affect the clearance of patients' right lung respiratory tract secretion, and clearance of left lung respiratory tract secretion is weak.

     

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