傅春枝, 贾楠, 王佃鹏, 李智民. 骨桥蛋白对尘肺病并发心力衰竭的诊断价值研究[J]. 职业卫生与应急救援, 2017, 35(4): 308-310, 355. DOI: 10.16369/j.oher.issn.1007-1326.2017.04.003
引用本文: 傅春枝, 贾楠, 王佃鹏, 李智民. 骨桥蛋白对尘肺病并发心力衰竭的诊断价值研究[J]. 职业卫生与应急救援, 2017, 35(4): 308-310, 355. DOI: 10.16369/j.oher.issn.1007-1326.2017.04.003
FU Chunzhi, JIA Nan, WANG Dianpeng, LI Zhimin. Diagnostic value of serum osteopontin for pneumoconiosis patients combined with heart failure[J]. Occupational Health and Emergency Rescue, 2017, 35(4): 308-310, 355. DOI: 10.16369/j.oher.issn.1007-1326.2017.04.003
Citation: FU Chunzhi, JIA Nan, WANG Dianpeng, LI Zhimin. Diagnostic value of serum osteopontin for pneumoconiosis patients combined with heart failure[J]. Occupational Health and Emergency Rescue, 2017, 35(4): 308-310, 355. DOI: 10.16369/j.oher.issn.1007-1326.2017.04.003

骨桥蛋白对尘肺病并发心力衰竭的诊断价值研究

Diagnostic value of serum osteopontin for pneumoconiosis patients combined with heart failure

  • 摘要:
    目的 通过对尘肺病并发心力衰竭患者中骨桥蛋白(osteopontin, OPN)水平测定, 分析OPN的临床意义。
    方法 入选健康人群38人(对照组)、尘肺病患者25人(单纯尘肺病组)、尘肺病并发心力衰竭患者(尘肺病并发心力衰竭组)20人, 分别测定三组血液生化指标和OPN水平, 对结果进行统计学分析。
    结果 尘肺病并发心力衰竭组血浆N末端B型利钠肽原(NT-proBNP)水平明显高于对照组及单纯尘肺病组, 单纯尘肺病组、尘肺病并发心力衰竭组的WBC、超敏C反应蛋白(hs-CRP)高于对照组, 差异均有统计学意义(P < 0.01)。对照组、单纯尘肺病组、尘肺病并发心力衰竭组中OPN水平分别为(71.3 ±15.3) ng/mL、(145.3 ±24.9) ng/mL、(199.4 ±25.2) ng/mL, 尘肺病并发心力衰竭组高于对照组及尘肺病组(P < 0.01)。
    结论 OPN可能参与了尘肺病并发心力衰竭的病理、生理过程, 有望成为尘肺病并发心力衰竭早期血清学标志之一。

     

    Abstract:
    Objective To observe the change of serum osteopontin of simple pneumoconiosis patients and pneumoconiosis patients combined with heart failure, in order to explore the diagnostic value of osteopontin.
    Methods Three groups of subjects, i.e. 38 healthy persons, 25 pneumoconiosis patients, and 20 pneumoconiosis patients combined with heart failure, were studied and their blood biochemical indices and serum osteopontin were measured and compared.
    Results The NT-proBNP level of pneumoconiosis patients with heart failure group was significantly higher than that of both of the healthy persons and the pneumoconiosis patients(P < 0.01). WBC and hs-CRP of simple pneumoconiosis patients and pneumoconiosis patients combined with heart failure group were higher than those of healthy persons(P < 0.01). The serum osteopontin levels of the healthy persons, simple pneumoconiosis patients and pneumoconiosis patients combined with heart failure group were respectively(71.3 ±15.3)ng/mL, (145.3 ±24.9)ng/mL and(199.4 ±25.2)ng/mL, and the difference among these 3 groups was significant(P < 0.01).
    Conclusion Osteopontin is probably involved in the pathophysiological process of pneumoconiosis with heart failure. It is expected to be one of the early serological markers of pneumoconiosis combined with heart failure.

     

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