[1]沈晓华,黄寨荣,杨永青.急性白血病患者血脂、β2-微球蛋白及肿瘤坏死因子α水平测定的临床意义[J].国际放射医学核医学杂志,2010,34(2):91-93.[doi:10.3760/cma.j.issn.1673-4114.2010.02.007]
 SHEN Xuw-hua,HUANG Zhai-rong,YANG Yong-qing.Clinical value of blood lipid, serum β2-microglolulin and tumor necrosis factor-α level in patients with acute leukemia[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(2):91-93.[doi:10.3760/cma.j.issn.1673-4114.2010.02.007]
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急性白血病患者血脂、β2-微球蛋白及肿瘤坏死因子α水平测定的临床意义(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
34
期数:
2010年第2期
页码:
91-93
栏目:
临床核医学
出版日期:
1900-01-01

文章信息/Info

Title:
Clinical value of blood lipid, serum β2-microglolulin and tumor necrosis factor-α level in patients with acute leukemia
作者:
沈晓华1 黄寨荣1 杨永青2
1. 江苏省吴江市黎里医院检验科, 215214;
2. 南京医科大学附属苏州医院核医学科, 苏州, 215002
Author(s):
SHEN Xuw-hua1 HUANG Zhai-rong1 YANG Yong-qing2
Department of Laboratory, Lili Hospital of Wujiang, Jiangsu Wujiang 215214, China
关键词:
白血病β2微球蛋白肿瘤坏死因子α脂蛋白类载脂蛋白类放射免疫测定
Keywords:
LeukemiaBeta 2-microglolulinTumor necrosis factor-alphaLipoproteinsApolipopro-teins
DOI:
10.3760/cma.j.issn.1673-4114.2010.02.007
摘要:
目的 探讨血脂、β2-微球蛋白(β2-MG)和肿瘤坏死因子α(TNF-α)对急性白血病诊断的临床意义。方法 采用放射免疫分析法测定血清中β2-MG和TNF-α的水平,生化法进行血脂分析,进行相关性检验。结果 123例急性白血病患者中包括46例急性单核细胞白血病、32例急性淋巴细胞白血病和45例急性非淋巴细胞白血病。患者血脂、血清β2-MG和TNF-α水平与36名正常对照者比较:三酰基甘油、β2-MG和TNF-α均增高(t=4.123~6.815,P均<0.01),血清脂蛋白(α)轻度增高但无明显差异(t=1.345,t=1.421,t=1.381,P>0.05),胆固醇、高密度脂蛋白-胆固醇、低密度脂蛋白-胆固醇、载脂蛋白A均降低(t=2.110~2.574,P<0.05),载脂蛋白B轻度降低但无明显差异(t=1.261,t=1.381,t=1.456,P>0.05)。结论 急性白血病的血脂、血清β2-MG和TNF-α水平的测定有助于疾病的诊断。
Abstract:
Objective To study on diagnosis value of blood lipid, serum β2-microglolulin(β2-MG) and tumor necrosis factor-α(TNF-α) in acute leukemia. Methods The scrum β2-MG and TNF-α(with radioim-munoassay) blood lipid(with biochemistry) levels were determined in 123 patients with acute leukemia as well as 36 controls, then conducted the correlative tests. Results Serum β2-MG, TNF-α and triglyceride levels in 123 patients including 46 patients with acute monocytic leukemia, 32 patients with acute lymphocytic leukemia and 45 patients with acute nonlymphocytic leukemia were significantly higher than those in 36 controls(t=4.123-6.815, P<0.01). The serum lipoprotein(α) level was tightly increased(t=1.345, t=1.421, t=l.381, P>0.05); The serum cholesterol, high density lipoprotein-cholesterol, low density lipoprotein-cholesterol, apolipoprotein A levels in 123 patients with acute leukemia were significantly lower than those in 36 controls(t=2.110-2.574, P<0.05), the serum apolipoprotein B level was tightly lowed(t=l, 261, t=l.381, t=l, 456, P>0.05), Conclusion The determination of blood lipid, serum β2-MG and TNF-α level might be useful for diagnosing acute leukemia and reflecting the prognostic value.

参考文献/References:

[1] 张之南,单澜东.协和血液学.北京:中国协和医科大学出版社,2004:376-377.
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[3] 张之南,沈悌.血液病诊断及疗效标准.2版.北京:科学出版社,1998:171-186.
[4] Thomas DA,Faderl S,Cortes J,et al.Treatment of philadelphia chromosome-positive acute lymphocytic leukemia with hyper-CVAD and imatinib mesylate.Bloody 2004,103(12):4396-4407.
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备注/Memo

备注/Memo:
收稿日期:2009-11-27。
通讯作者:杨永靑(E-mail:wjbssxh@126.com)
更新日期/Last Update: 1900-01-01