摘要
目的:探讨超敏C反应蛋白(high sensitivity—Creactive protein,Hs—CRP)水平与非霍奇金淋巴瘤(non—Hodgkin lylnpho.ma,NHL)患者预后的关系。方法:收集85例NHL患者的临床资料,中位随访14(1~59)个月,通过与已知的预后参数进行对比,探讨Hs—CRP对该疾病预后的预测价值。结果:治疗前血清基础Hs—CRP水平≥4mg/L较Hs—CRP水平〈4mg/l患者的无病进展生存期(progression free survival,PFS)更短(P〈0.05),Hs—CRP水平≥4mg/L较Hs—CRP水平〈4mg/L患者的总生存期(overall survial,OS)亦更短(P〈0.05)。治疗后早中期Hs—CRP水平与OS、PFS无显著相关性(P〉0.05)。Cox多因素分析显示,治疗前血清基础Hs—CRP可作为NHL患者复发以及生存的一个重要预后参数(P〈0.05)。结论:治疗前基础Hs—CRP水平可作为NHL患者预后的一个重要依据。
Objective: To investigate high sensitivity-C reactive protein (Hs-CRP) as a prognostic factor in non-Hodgkin lympho- ma (NHL). Methods: Data for 85 consecutive non-Hodgkin lymphoma patients were followed up and reviewed to determine the value of Hs-CRP relative to known prognostic parameters. Results: The progression-free survival (PFS) and overall survival (OS) times of pa- tients with pre-therapeutic baseline serum Hs-CRP levels of/〉 4 mg/L were shorter than those of patients with basal serum Hs-CRP lev- els of 〈4 mg/L (P〉0.05). However, the post-therapeutic, early-to-mid serum Hs-CRP level was not significantly correlated with thc OS and PFS times (P〉0.05). Multivariate Cox regression analysis showed that the pre-therapeutic baseline serum Hs-CRP level may be an important prognostic parameter for the relapse and survival of NHL patients (P〈0.05). Conclusion: The baseline Hs-CRP level can be a maj or indicator of prognosis in NHL patients.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2013年第22期1382-1386,共5页
Chinese Journal of Clinical Oncology
关键词
非霍奇金淋巴瘤
超敏C反应蛋白
预后评估
non-Hodgkin lymphoma, high sensitivity-C reactive protein, prognostic evaluation