一些细胞因子在年轻和老年患者骨折创伤后的作用

A. Hasan, Mazin Jabbar Kathim, Nihad Khalawe Tektook
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摘要

背景:免疫因子是人体用于治疗感染和修复紧急疾病的最重要的系统。目的:收集2018年1月至2018年6月在伊拉克Al-Yarmouk教学医院骨折部就诊的50例不同类型骨折患者的血清。采用Elisa法测定骨折患者血清中IL-6、IL-10和粒细胞集落刺激因子(GM-CSF)水平与年龄的关系,本研究还纳入50人作为对照组,代表了患者和健康人的青老两组分布,以及按性别和体重指数(BMI)划分。患者与方法:所有患者和健康者均抽取静脉血4毫升,Elisa法测定血清白细胞介素(IL-6、IL-10和粒细胞-单核细胞集落刺激因子(GM-CSF))水平。结果:研究发现,与健康青年和老年对照组相比,老年和青年骨折创伤患者IL-6平均值分别为31.36±5.33和23.81±4.33 pg/ml,显著升高。研究发现,与老年骨折患者和健康人群相比,年轻骨折患者GM-CSF水平显著升高(62.61±7.23 pg/ml),老年骨折患者GM-CSF水平显著升高(27.18±4.87 pg/ml)。青年和老年骨折创伤患者IL-10平均值分别为3.51±0.28和2.29±0.31 pg/ml,而健康青年和老年对照组的IL-10平均值分别为2.18±0.27和1.99±0.18 pg/ml。结论:研究表明,IL-6、CM-CSF、IL-10与年轻、老年骨折患者BMI呈正相关。
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Role of Some Cytokines After Fracture Trauma in young and Old Patients
Background: Immune factors are of the most important systems used by the human body to treat infections and repair the emergency disorders. Objective: During period from January 2018 to June 2018 collected serum from (50) patients with different fractures patients who attended fractures units in Al-Yarmouk teaching hospital /Iraq. and determine by Elisa the levels of IL-6, IL-10 and granulocytemonocyte colony-stimulating factor (GM-CSF) in sera of patients with fractures in relation with their age groups, current study also included 50 people as a control group, which represented the distribution of patients and healthy people as groups of young and elderly as well as their division on the basis of gender as well as body mass index (BMI). Patients and Methods: Four milliliter of venous blood was withdrawn from all patients and healthy so to measure the level of interleukins ( IL-6, IL-10 and granulocyte-monocyte colony-stimulating factor (GM-CSF) ) in sera, by Elisa . Results: The study found that IL-6 means were significantly elevated in old and young fracture trauma patients (31.36±5.33 and 23.81±4.33 pg/ml) respectively as compared with healthy young and old control individuals. The study revealed that, GM-CSF level was significantly elevated in young fracture trauma patients (62.61±7.23 pg/ml) as compared with old fracture trauma patients and healthy individuals and GM-CSF level was significantly elevated in old fracture trauma patients (27.18±4.87 pg/ml) as compared with old healthy individuals. IL-10 means were significantly elevated in young and old fracture trauma patients (3.51±0.28 and 2.29±0.31 pg/ml) respectively as compared with healthy young and old control individuals (2.18±0.27 and 1.99±0.18 pg/ml) respectively. Conclusion: The study showed positive correlation of IL-6, CM-CSF and IL-10 with BMI of young and old with fracture trauma.
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