Mesh : Humans Glycoproteins / blood Male Prospective Studies Female Cholecystitis, Acute / blood diagnosis Middle Aged Adult C-Reactive Protein / metabolism analysis Case-Control Studies Aged

来  源:   DOI:10.26355/eurrev_202405_36186

Abstract:
OBJECTIVE: The aim of this prospective, single-center cohort study was to analyze serum leucine-rich α-2-glycoprotein-1 (LRG1) expression in patients with acute cholecystitis (AC) and to investigate its variation depending on symptom duration.
METHODS: Participants were divided into patients with AC and a healthy control group. At the time of diagnosis, blood samples were collected, and symptom onset times were questioned. Collected serum LRG1 levels were measured.
RESULTS: 30 patients and 30 healthy volunteers were included in the study. LRG1 (p=0.008), white blood cells (WBC) (p<0.001), platelet (p=0.003), neutrophil (p<0.001), lymphocyte (p=0.001), and CRP (p=0.014) were significantly different in AC patients vs. the control group. When the correlations of serum laboratory values with the time of onset of symptoms were compared, LRG1 (p<0.001) was significantly correlated, while no significant correlation was observed in C-reactive protein (CRP) (p=0.572), WBC (p=0.155), and neutrophil (p=0.155).
CONCLUSIONS: LRG1 expression increases after 24 hours in AC patients. Due to its correlation with symptom duration, we believe it can be helpful for timing cholecystectomy.
摘要:
目标:这个前瞻性的目标,单中心队列研究是分析急性胆囊炎(AC)患者血清富含亮氨酸的α-2-糖蛋白-1(LRG1)的表达,并研究其随症状持续时间的变化。
方法:将参与者分为AC患者和健康对照组。在诊断的时候,收集血样,和症状发作时间被质疑。测量收集的血清LRG1水平。
结果:30名患者和30名健康志愿者被纳入研究。LRG1(p=0.008),白细胞(WBC)(p<0.001),血小板(p=0.003),中性粒细胞(p<0.001),淋巴细胞(p=0.001),和CRP(p=0.014)在AC患者与对照组。当比较血清实验室值与症状发作时间的相关性时,LRG1(p<0.001)显著相关,而C反应蛋白(CRP)无显著相关性(p=0.572),白细胞(p=0.155),和中性粒细胞(p=0.155)。
结论:在AC患者中,LRG1表达在24小时后增加。由于其与症状持续时间的相关性,我们相信这对胆囊切除术的时机有帮助.
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