血清 sST2、RF、CCP 抗体水平与类风湿性 关节炎疗效指标的相关性分析
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王璐璐,女,主管检验师,主要从事临床检验工作。

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R 684.3

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Correlation Analysis of Serum sST2, RF and CCP Antibody Levels with the Efficacy of Rheumatoid Arthritis
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    摘要:

    摘 要目的:观察血清可溶性基质裂解素 2(sST2)、类风湿因子(RF)、抗环瓜氨酸肽(CCP)抗体水平 与类风湿性关节炎(RA)疗效指标的相关性。 方法:选取郑州人民医院 2020 年 1 月至 2022 年 1 月收治的 72 例 RA 患者,规范化治疗 6 个疗程后,观察患者的临床疗效,并比较治疗前后患者血清 sST2、RF、CCP 抗体水平及常规疗 效指标〔C 反应蛋白(CRP)、红细胞沉降率(ESR)、疾病活动度评分(DAS28)〕,分析患者血清 sST2、RF、 CCP 抗体与水平临床疗效、各项常规疗效指标的相关性。 结果:72 例患者治疗后的总有效率为 91.67 %;治疗后患者 血清 sST2、RF、CCP 抗体、DAS28、ESR、CRP 水平均低于治疗前,差异均具有统计学意义(P < 0.05);相关性 分析结果显示,患者血清 sST2、RF、CCP 抗体水平与临床疗效均呈正相关,与常规疗效指标 DAS28、ESR、CRP 也 均呈正相关。 结论:血清 sST2、RF、CCP 抗体与 RA 疗效间具有明确的相关性,能够为 RA 疗效的评估提供参考。

    Abstract:

    AbstractObjective To observe the correlation between the serum levels of soluble suppression of tumorigenicity-2 (sST2), rheumatoid factor (RF), anti cyclic citrullinated peptide (CCP) antibodies and the therapeutic indexes of rheumatoid arthritis (RA). Methods 72 RA patients admitted to Zhengzhou People's Hospital from January 2020 to January 2022 were selected for standardized treatment for 6 courses. The clinical efficacy of the patients was observed, and the serum levels of sST2, RF, CCP antibodies and conventional efficacy indicators [C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), Chinese full name (DAS28)] were compared before and after treatment. The correlation between serum sST2, RF, CCP antibodies and clinical efficacy, as well as various conventional efficacy indicators was analyzed. Results The total effective rate of 72 patients after treatment was 91.67%; After treatment, the serum levels of sST2, RF, CCP antibody, DAS28 score, ESR, CRP in patients were lower than those before treatment, and the differences were statistically significant (P < 0.05); The correlation analysis results showed that the serum levels of sST2, RF, CCP antibodies in patients were positively correlated with clinical efficacy, as well as with conventional efficacy indicators DAS28, ESR, and CRP. Conclusion There is a clear correlation between serum sST2, RF, CCP antibodies and RA efficacy, which can provide reference for the evaluation of RA efficacy.

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  • 收稿日期:2023-01-21
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  • 在线发布日期: 2023-06-19
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