不同情况下非霍奇金淋巴瘤患者血清LDH、CEA、β2-MG水平的变化及其临床意义

W. Yao
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引用次数: 0

摘要

目的探讨非霍奇金淋巴瘤(NHL)患者血清癌胚抗原(CEA)、乳酸脱氢酶(LDH)、β2-微球蛋白(β2-MG)水平的变化及其临床意义。方法选取2015年2月~ 2018年2月在十堰市人民医院住院的非霍奇金淋巴瘤患者54例作为观察组。所有患者都接受了两个周期的化疗和放疗。另取健康受试者54名作为对照组。观察对照组患者血清LDH、β2-MG、CEA水平的变化,比较NHL不同临床分期、不同病情、不同疗效治疗前后血清LDH、β2-MG、CEA水平的变化。结果观察组患者血清LDH、β2-MG、CEA水平均高于对照组(P < 0.05)。治疗后,完全缓解(CR)和部分缓解(PR)患者血清LDH、β2-MG和CEA水平均低于治疗前(P<0.05),且低于SD和PD患者。结论NHL患者血清LDH、β2-MG、CEA水平升高,联合检测其水平变化对判断NHL患者的临床分期、恶性程度、临床疗效及预后具有重要的临床价值。关键词:淋巴瘤,非霍奇金;肿瘤的分期;癌胚抗原;乳酸脱氢酶;β2-microglobulin
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Changes of serum LDH, CEA and β2-MG levels in non-Hodgkin's lymphoma patients in different situations and their clinical significance
Objective To investigate the changes of serum carcinoembryonic antigen (CEA), lactate dehydrogenase (LDH), β2-microglobulin (β2-MG) levels in non-Hodgkin's lymphoma (NHL) patients and their clinical significance. Methods From February 2015 to February 2018, 54 patients with NHL who were hospitalized in Shiyan People's Hospital were selected as the observation group. All patients underwent two cycles of chemotherapy combined with radiation therapy. Another 54 healthy subjects were selected as the control group. To observe the changes of serum LDH, β2-MG, CEA levels in the control group, and compare the changes of serum LDH, β2-MG, CEA levels before and after treatment with different clinical stages, different conditions, and different effects in NHL. Results The levels of serum LDH, β2-MG, and CEA in the observation group were higher than those in the control group (P 0.05). While after treatment, the levels of serum LDH, β2-MG and CEA in complete relief (CR) and partial remission (PR) patients were lower than those before treatment (P<0.05), and were lower than those in SD and PD patients. Conclusions The level of serum LDH, β2-MG and CEA in patients with NHL increased, and the combined detection of the level changes is of great clinical value in the determination of clinical stage, malignant degree, clinical efficacy and prognosis of NHL patients. Key words: Lymphoma, non-hodgkin; Neoplasm staging; Carcinoembryonic antigen; Lactate dehydrogenase; beta 2-microglobulin
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中国医师杂志
中国医师杂志 Medicine-Medicine (all)
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