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激素敏感型肾病综合征患儿血及尿白细胞介素-18增高及其临床意义 被引量:1

Interleukin-18 levels in serum and urine of children with steroid-sensitive nephritic syndrome
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摘要 目的探讨白细胞介素-18(IL-18)与小儿激素敏感型肾病综合征(SSNS)发病之间的关系。方法采用酶联免疫吸附试验(ELISA)测定SSNS患儿极期及恢复期血、尿中IL-18水平,分析与24 h尿蛋白定量之间的关系,并与正常对照组相比较。结果 SSNS患儿22例,治疗前血IL-18为(281.2±79.2)ng/L。恢复期为(50.2±14.1)ng/L两者比较差异有显著性(P<0.01);正常对照组为(43.1±13.9)ng/L,与恢复期差异无显著性(P>0.05)。尿IL-18治疗前及恢复期分别为(232.6±55.5)ng/mg·Cr和(28.5±12.8)ng/mg·Cr两者比较差异有显著性(P<0.01);正常对照组为(21.5±5.1)ng/mg·Cr,与恢复期比较差异无显著性(P>0.05)。呼吸道感染组与正常对照组之间差异也无显著性。血IL-18与24 h尿蛋白定量呈显著正相关(r=0.768,P<0.05)。尿IL-18与24 h尿蛋白定量也呈显著正相关(r=O.838,P<0.01)。结论 IL-18与SSNS的发病有关,可能在其发病中起部分作用,血、尿IL-18还可作为SSNS极期的标志之一。感染对血中IL-18水平无影响。
出处 《中国当代儿科杂志》 CAS CSCD 2003年第5期466-468,共3页 Chinese Journal of Contemporary Pediatrics
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