The changes of inflammatory factors,oxidative stress,bone mineral density and bone metabolic indices in children with ulcerative colitis
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摘要: 目的 溃疡性结肠炎是一种病因尚不十分清楚的结、直肠慢性非特异性炎症性疾病,病变局限于大肠黏膜及黏膜下层,病程漫长,常反复发作。本研究旨在探讨溃疡性结肠炎儿童炎症因子、氧化应激、骨密度(BMD)及骨代谢指标变化,为其临床治疗提供依据。 方法 选取2015年4月—2016年8月于绍兴市中心医院儿科就诊的溃疡性结肠炎儿童58例,作为观察组。另选取同期健康体检儿童40例,作为对照组。观察2组儿童炎症因子C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)、白介素6(IL-6)水平,氧化应激指标一氧化氮(NO)、超氧化物歧化酶(SOD)水平,BMD及骨代谢指标骨钙素(BGP)、骨碱性磷酸酶(BALP)水平情况,并采用t检验比较2组差异。 结果 观察组炎症因子CRP、TNF-α、IL-6水平均明显高于对照组(P<0.05);观察组氧化应激指标NO水平明显高于对照组(P<0.05),SOD水平明显低于对照组(P<0.05);观察组BMD明显低于对照组(P<0.05),但2组骨代谢指标BGP、BALP水平差异无统计学意义(P>0.05)。 结论 溃疡性结肠炎儿童炎症因子指标CRP、TNF-α、IL-6水平及氧化应激指标NO、SOD水平异常,且BMD明显降低,临床上检测其炎症因子、氧化应激及BMD变化有助于儿童溃疡性结肠炎的诊断和治疗。Abstract: Objective Ulcerative colitis is a chronic non-specific inflammatory disease of the colorectum with obscure etiology,which lesion is confined to the mucosa and submucosa with long and recurrent course of the disease.The purpose of this study is to investigate the changes of inflammatory factors,oxidative stress,bone mineral density(BMD) and bone metabolic indices in children with ulcerative colitis. Methods We selected 58 children with ulcerative colitis who treated in our hospital from April,2015 to August,2016 as observation group,and 40 healthy check-up children as control group to compare inflammatory factors,oxidative stress,bone mineral density and bone metabolic indices between 2 groups. Results CRP,TNF-α and IL-6 levels of observation group were significantly higher than those in control group(P<0.05);NO level of observation group was significantly higher than that in control group(P<0.05),SOD level of observation group was significantly lower than that in control group(P<0.05);BMD of observation group was significantly lower than that in control group(P<0.05),but BGP and BLAP levels showed no significant difference(P>0.05). Conclusion The levels of inflammatory factors and oxidative stress were significantly increased,BMD was significantly decreased in children with ulcerative colitis.Clinical test of the changes of inflammatory factors,oxidative stress and BMD were helpful to the diagnosis and treatment of ulcerative colitis in children.
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Key words:
- Ulcerative colitis /
- Children /
- Inflammatory factors /
- Oxidative stress /
- Bone mineral density /
- Bone metabolic
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