ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (6): 516-518.doi: 10.3969/j.issn.1674-3865.2017.06.018

• 临床研究 • 上一篇    下一篇

白细胞介素6和肿瘤坏死因子α在不同年龄段脑性瘫痪患儿血清中的表达

刘洪俊,朱凤莲   

  1. 453100 河南 新乡,新乡医学院第一附属医院小儿康复科
  • 出版日期:2017-12-25 发布日期:2018-11-19
  • 通讯作者: 朱凤莲,E-mail:zfl440@163.com
  • 作者简介:刘洪俊(1979-),男,医师。研究方向:小儿神经系统疾病的康复治疗

Expression of interleukin-6 and tumor necrosis factor α in the serum of children with cerebral palsy at different ages

LIU Hongjun, ZHU Fenglian   

  1.  First Affiliated Hospital of Xinxiang Medical College, Xinxiang 453100, China
  • Online:2017-12-25 Published:2018-11-19

摘要:
目的
分析比较不同年龄段脑性瘫痪(简称脑瘫)患儿血清中白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)的表达水平。
方法
选取2014年10月至2015年8月在新乡医学院第一附属医院小儿康复科住院治疗的脑瘫患儿50例为观察组,根据年龄进行分组,小龄观察组(3~12个月)和大龄观察组(13~36个月)各25例。另选取同期在本院进行健康体检的正常儿童30例作为对照组,根据年龄进行分组,小龄对照组和大龄对照组各15例。抽取外周静脉血,采用酶联免疫吸附法检测IL-6及TNF-α水平。
结果
观察组中小龄组与大龄组血清IL-6及TNF-α水平分别为(6.53±1.44)、(6.42±1.34)、(398.22±92.07)、(390.87±93.57)ng/L均高于对照组(4.87±1.42)、(4.57±1.48)、(268.46±87.87)、(233.52±71.78)ng/L,差异有统计学意义(P<0.05);两组中各年龄段患儿IL-6、TNF-α水平相比,差异无统计学意义(P>0.05)。
结论
IL-6、TNF-α在脑瘫患儿血清中持续存在,加重患儿的脑损伤程度,且IL-6、TNF-α水平不会随患儿年龄的增长而减弱,因此,对于脑瘫患儿应尽早的给予干预治疗,可有效降低炎性因子对脑组织的影响。

关键词: 脑性瘫痪, IL-6, TNF-α, 免疫因子, 儿童

Abstract:
Objective
To analyze and compare the expression level of interleukin-6(IL-6) and tumor necrosis factor α(TNF-α) in the serum of children with cerebral palsy at different ages.
Methods
A total of 50 children with cerebral palsy were chosen as the observation group, who were hospitalized for treatment in the First Affiliated Hospital of Xinxiang Medical College from Oct. 2014 to Aug. 2015. They were divided into two groups according to age: small-age observation group(3 to 12 months) and older-age observation group(13 to 36 months), with 25 children in each. Another 30 normal-health children were selected as the control group, and they were divided into two groups according to age: small-age control group and older-age control group, with 15 children in each. The peripheral venous blood was taken, and the IL-6 and TNF-α level was determined by enzyme-linked immunosorbent assay.
Results
The IL-6 level and TNF-α level were respectively (6.53±1.44)ng/L, (6.42±1.34)ng/L, (398.22±92.07)ng/L and (390.8±93.57)ng/L in the small-age and older-age observation groups, all being higher than the control groups, which were (4.87±1.42)ng/L,(4.57±1.48)ng/L, (268.46±87.87)ng/L and (233.52±71.78)ng/L, and there was statistical difference(P<0.05).There was no statistical difference in the IL-6 and TNF-α level between different ages in the observation groups or in the control groups(P>0.05).
Conclusion
IL-6 and TNF-α exist persistently in the serum of children with cerebral palsy, which aggravates the brain damage; besides, the level of IL-6 and TNF-α won't decrease with increase of age. Therefore, intervention treatment should be performed as early as possible, which can effectively reduce the influence of inflammatory factor on brain tissues.

Key words: Cerebral palsy, IL-6, TNF-α, Immune factor, Child