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预防医学  2016, Vol. 28 Issue (12): 1214-1217    
  论著 本期目录 | 过刊浏览 | 高级检索 |
子宫内膜异位症患者血清ENA-78表达与盆腔炎症黏连及疼痛分级的关系研究
沈双双1, 杨群爱2, 诸葛丽芳2, 陈旭花2
1.金华市妇幼保健院妇产科, 浙江金华 321000;
2.兰溪市人民医院妇产科
A study on the correlation between serum ENA-78 expression and pelvicinflammatory adhesion and pain grading among patients with endometriosis
SHEN Shuang-shuang, YANG Qun-ai, ZHUGE Li-fang, CHEN Xu-hua
Department of Obstetrics and Gynecology, Jinhua maternity and child care center, Jinhua, Zhejiang,321000, China
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摘要 目的 观察子宫内膜异位症(EM)患者治疗前后上皮来源的中性粒细胞活化肽78(ENA-78)表达水平变化,分析ENA-78水平与疼痛分级和盆腔炎症黏连的相关性。方法 选取2014年6月—2015年6月在金华市妇幼保健院妇产科确诊的EM患者160例为病例组,其中I~IV期患者各40例;同期住院的非EM患者40例为对照组。采用酶联免疫吸附试验(ELISA)法检测病例组和对照组在治疗前和经促性腺激素释放激素类似物(GnRh-a)治疗3个月、6个月后血清ENA-78水平;盆腔黏连程度根据Hobson评分法分级,疼痛程度根据疼痛程度分级法(RAFS)分级,分析EM患者治疗前后的ENA-78表达与盆腔炎症黏连及疼痛分级的相关性。结果 病例组和对照组不同治疗时间血清ENA-78水平差异有统计学意义(P<0.01);病例组患者血清ENA-78水平高于对照组(P<0.01);血清ENA-78水平随治疗时间增加而下降(P<0.01);疼痛程度与血清ENA-78表达水平呈正相关(rs=0.675,P=0.000);盆腔黏连程度与血清ENA-78表达水平呈正相关(rs=0.601,P=0.000)。结论 ENA-78在EM患者血清中高表达,且表达水平越高,盆腔炎症黏连程度和疼痛程度越高,经GnRh-a治疗后ENA-78表达水平明显下降。
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沈双双
杨群爱
诸葛丽芳
陈旭花
关键词 子宫内膜异位症ENA-78盆腔炎症黏连疼痛相关性    
AbstractObjective To observe the changes of ENA-78 expression levels in patients with endometriosis (EM) before and after treatment, and the role of ENA-78 expression in pain and pelvic inflammation. Methods A total of 160 patients with EM were selected as the research subjects for I phase, II phase, III phase, IV phase patients. In the same period, 40 cases of non EM patients were selected as control group. Serum ENA-78 expression levels were detected among patients with EM before treatment, 3 months after treatment and 6 months after treatment, and the control group before treatment by the method of ELISA .The correlation between ENA-78 expression and pelvic inflammatory adhesion and pain grading among patients with EM was analyzed. Results There was significant difference in the level of serum ENA-78 expression between the two groups at different time points (P<0.01). The expression level of serum ENA-78 of case group decreased with time (P<0.01), while the expression level of serum ENA-78 of EM patients with different pain grading was different (P< 0.05). The expression level of ENA-78 in severe group was higher than that in mild group and moderate group (P< 0.05). The degree of pelvic adhesion in EM patients was positively correlated with the level of ENA-78 expression (rs=0.675, P=0.000).The expression of ENA-78 in serum of EM patients with different degrees of pelvic inflammation was different (P<0.05), and the expression of V-grade group ENA-78 was higher than other groups (P< 0.05). The level of ENA-78 expression was positively correlated with the degree of pain in patients with EM (rs=0.601, P=0.000). Conclusion Serum ENA-78 expression levels among EM patients were high, and positively correlated with pelvic inflammatory adhesion and pain grading. Serum ENA-78 decreased after GnRh-a treatment.
Key wordsEndometriosis    ENA-78    Pelvic inflammatory adhesion    Pain    Correlation
收稿日期: 2016-04-11          
中图分类号:  R711.71  
基金资助:2014年金华市科学技术研究计划项目(2014-3-107)
通信作者: 杨爱群,E-mail15068072991@qq.com   
作者简介: 沈双双,本科,副主任医师,主要从事子宫内膜异位症患者盆腔炎研究工作
引用本文:   
沈双双, 杨群爱, 诸葛丽芳, 陈旭花. 子宫内膜异位症患者血清ENA-78表达与盆腔炎症黏连及疼痛分级的关系研究[J]. 预防医学, 2016, 28(12): 1214-1217.
SHEN Shuang-shuang, YANG Qun-ai, ZHUGE Li-fang, CHEN Xu-hua. A study on the correlation between serum ENA-78 expression and pelvicinflammatory adhesion and pain grading among patients with endometriosis. Preventive Medicine, 2016, 28(12): 1214-1217.
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