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徐平, 吴岳洲, 雷显泽, 张骏, 胡泳涛. 慢性酒精中毒患者血清IL-6水平与脑萎缩[J]. 中国公共卫生, 2004, 20(2): 182-183.
引用本文: 徐平, 吴岳洲, 雷显泽, 张骏, 胡泳涛. 慢性酒精中毒患者血清IL-6水平与脑萎缩[J]. 中国公共卫生, 2004, 20(2): 182-183.
XU Ping, WU Yue-zhou, LEI Xian-ze, . Relationship between level of serum IL-6 and brain atrophy in patients with chronic alcoholism[J]. Chinese Journal of Public Health, 2004, 20(2): 182-183.
Citation: XU Ping, WU Yue-zhou, LEI Xian-ze, . Relationship between level of serum IL-6 and brain atrophy in patients with chronic alcoholism[J]. Chinese Journal of Public Health, 2004, 20(2): 182-183.

慢性酒精中毒患者血清IL-6水平与脑萎缩

Relationship between level of serum IL-6 and brain atrophy in patients with chronic alcoholism

  • 摘要:
      目的   探讨慢性酒精中毒患者白细胞介素-6(IL-6)水平的变化及其与酒精中毒性脑萎缩的关系.
      方法   用双抗体夹心ELISA法对32例慢性酒精中毒患者和30例健康对照血清中IL-6水平进行测定, 并结合头颅CT扫描进行分析.
      结果   (1) 慢性酒精中毒组脑萎缩出现率为50%;(2)慢性酒精中毒组血清IL-6水平(286.31±104.79)ng/L显著高于健康对照组(205.43±48.67)ng/L(P < 0.001);慢性酒精中毒伴有脑萎缩者血清IL-6水平(343.75±99.59)ng/L高于无脑萎缩者(228.88±75.74)ng/L(P < 0.001);无脑萎缩者虽然较健康对照组增高, 但无显著性差异(P > 0.05);(3)慢性酒精中毒患者血清IL-6水平与脑萎缩程度相关: 与三脑室宽度(r=0495, P < 0.01)及Huckman值(r=0.557, P < 0.01)呈正相关; 与脑室指数(r=-0.665, P < 0.01)及侧脑室体部指数(r=-0.639, P < 0.01)呈负相关。
      结论   慢性酒精中毒患者存在免疫功能异常, 血清IL-6水平增高与酒精的萎缩性脑损害有相关性.

     

    Abstract:
      Objective   To study the alteration of serum interleukin-6(IL-6)in patients with chronic alcoholism and determine whether there was an association between serum IL-6 and alcoholic brain atrophy.
      Methods   The level of serum IL-6 was detected in 32 patients with chronic alcoholism and 30 healthy control with two antibody sandwich-ELISA.Computed tomography was used to determine the severity of brain atrophy.
      Results   (1) 50% patients with chronic alcoholism presented brain atrophy.(2)Serum IL-6 was significantly higher in the group of patients than in the normal control(286.31±104.79)ng/L vs.(205.43±48.67)ng/L, P < 0.001.Serum IL-6 was significantly higher in the patients with brain atrophy than in those without brain atrophy(343 75 99 59) ng/L vs.(228.88±75.74)ng/L, P < 0.001.The level of serum IL-6 in the patients without brain atrophy was higher than that in the normal control, but the difference was not significant(P < 0.05).(3)A bivariate analysis showed that the level of serum IL-6 was associated with alcoholic brain atrophy: positively associated with the width of 3rd ventricle(r=0.495, P < 0.01)and Huckman value(r=0.557, P < 0.01);and negatively associated with index of brain ventricle(r=-0.665, P < 0.01)and index of body of lateral ventricle(r=-0.639, P < 0.01).
      Conclusion   The patients with chronic alcoholism presented an abnoraml immunological function.The increase level of serum IL-6 may be associated with alcoholic brain atrophy.

     

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