非透析慢性肾脏病患者血清Irisin水平与微炎症状态的相关性分析
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陕西省西安市科技计划项目[2019114613YX001SF04(15)];


Correlation between serum Irisin level and microinflammatory state in non-dialysis patients with chronic kidney disease
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    摘要:

    目的:分析非透析慢性肾脏病(CKD)患者血清鸢尾素(Irisin)与微炎症状态的相关性。方法:选取146例非透析CKD患者为非透析CKD组,按照炎症程度不同分为微炎症组(n=102)和非炎症组(n=44),另选取68名健康体检者为对照组。分析两组对象一般资料、炎症指标及血清Irisin水平,不同炎症状态下炎症指标及血清Irisin水平差异,血清Irisin含量与血白蛋白(Alb)、视黄醇结合蛋白(RBP)、铁蛋白(SF)、C-反应蛋白(hs-CRP)、白细胞介素6(IL-6)的相关性,血清Irisin水平对微炎症状态的诊断价值。结果:非透析CKD组血清RBP、SF、hs-CRP、IL-6高于对照组(P<0.05),微炎症组上述指标高于非炎症组(P<0.05),对于血清Alb、Irisin水平,非透析CKD组低于对照组(P<0.05),微炎症组低于非炎症组(P<0.05);血清Irisin与血清RBP、SF、hs-CRP、IL-6负相关(r=-0.502、-0.634、-0.667、-0.689,P<0.05),与血清Alb正相关(r=0.613,P<0.05);血清Irisin诊断微炎症状态的敏感度为91.18%,特异度为79.55%。结论:非透析CKD患者血清Irisin含量与血清RBP、SF、hs-CRP、IL-6水平均负相关,与血清Alb水平正相关,鉴别其微炎症状态有诊断价值。

    Abstract:

    Objective:To analyze the correlation between serum Irisin and microinflammatory state in non-dialysis patients with chronic kidney disease(CKD).Methods:146 patients in non-dialysis CKD group(102 cases in microinflammation group and 44 cases in non-inflammation group)and 68 subjects in healthy control group were included.The baseline data,inflammatory indicators and ser-um Irisin between groups and the differences in inflammatory indicators and serum Irisin under different microinflammatory states were analyzed.The correlation of serum Irisin with serum albumin(Alb),retinol binding protein(RBP),serum ferritin(SF),C-reactive protein(hs-CRP)and interleukin-6(IL-6)and the diagnostic value of serum Irisin level on microinflammatory state were analyzed.Results:The serum RBP,SF,hs-CRP and IL-6 changes in the non-dialysis CKD group was higher than those in the control group(P<0.05),and the microinflammatory group was higher than the non-inflammatory group(P<0.05).For serum Alb and Irisin levels,the non-dialysis CKD group was lower than the control group(P<0.05),and the microinflammatory group was lower than the non-inflam-matory group(P<0.05).Serum Irisin was negatively correlated with serum RBP,SF,hs-CRP and IL-6(r=-0.502,-0.634,-0.667,-0.689,P<0.05),and was positively correlated with serum Alb(r=0.613,P<0.05).The sensitivity and specificity of serum Irisin in diagnosing microinflammatory state were 91.18%and 79.55%,respectively.Conclusion:Serum Irisin level is negative-ly correlated with serum RBP,SF,hs-CRP and IL-6 levels,and is positively correlated with serum Alb level in non-dialysis CKD pa-tients,and it has diagnostic value on differentiating microinflammatory state.

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任莉;李秀娥;郑小维;孙晖;.非透析慢性肾脏病患者血清Irisin水平与微炎症状态的相关性分析[J].川北医学院学报,2025,40(5):619-623.

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  • 在线发布日期: 2025-07-09
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