影像科学与光化学 ›› 2024, Vol. 42 ›› Issue (1): 34-40.DOI: 10.7517/issn.1674-0475.230702

• 综述与论文 • 上一篇    下一篇

新生儿感染性肺炎血清Gal-3、IL-17水平与肺超声评分关系及对继发呼吸窘迫综合征的预测价值

徐岸楠, 廖崇皓, 李世瑶, 肖宗莉   

  1. 重庆市开州区人民医院新生儿科, 重庆 405400
  • 收稿日期:2023-07-10 修回日期:2023-12-11 发布日期:2024-02-21
  • 通讯作者: 廖崇皓

The Relationship between Serum Gal-3, IL-17 Levels and Pulmonary Ultrasound Scores of Neonatal Infectious Pneumonia and the Predictive Value of Secondary Respiratory Distress Syndrome

XU Annan, LIAO Chonghao, LI Shiyao, XIAO Zongli   

  1. Department of Neonatology, The People's Hospital of Kaizhou District, CQ, Chongqing 405400, P.R. China
  • Received:2023-07-10 Revised:2023-12-11 Published:2024-02-21

摘要: 为探讨新生儿感染性肺炎(NIP)血清半乳糖凝集素-3(Gal-3)、白细胞介素-17(IL-17)水平与肺超声评分关系及对继发呼吸窘迫综合征(RDS)的预测价值,本研究选取NIP患儿98例作为研究组,根据是否继发RDS分为RDS患儿和无RDS患儿,选取同期健康新生儿98例作为对照组,均进行血清Gal-3、IL-17水平检测,研究组进行肺超声检查。结果显示研究组血清Gal-3、IL-17水平高于对照组,血清Gal-3、IL-17水平与肺超声评分呈负相关;Gal-3、IL-17是NIP继发RDS的独立危险因素,胎龄是NIP继发RDS的独立保护因素;血清Gal-3、IL-17水平联合预测NIP继发RDS的AUC值大于单一指标预测值,患者受益良好。由此可见,NIP患儿血清Gal-3、IL-17水平与肺超声评分关系密切,临床通过检测血清Gal-3、IL-17水平可评估NIP患儿继发RDS的风险。

关键词: 新生儿感染性肺炎, 半乳糖凝集素-3, 白细胞介素-17, 肺超声评分

Abstract: In order to investigate the relationship between serum galectin-3 (Gal-3) and interleukin-17 (IL-17) levels of neonatal infectious pneumonia (NIP) and pulmonary ultrasound scores, as well as the predictive value of secondary respiratory distress syndrome (RDS), 98 children with NIP were selected as the study group, and RDS children were divided according to whether they had secondary RDS. In children without RDS, 98 healthy newborns were selected as the control group. Serum Gal-3 and IL-17 levels were detected in all patients, and lung ultrasound was performed in the study group. The results showed that the levels of serum Gal-3 and IL-17 in the study group were higher than those in the control group, and the levels of serum Gal-3 and IL-17 were negatively correlated with pulmonary ultrasound scores. Gal-3 and IL-17 were independent risk factors for secondary RDS in NIP, and gestational age was independent protective factor for secondary RDS in NIP. The AUC value of the combined prediction of serum Gal-3 and IL-17 for secondary RDS in NIP was greater than that predicted by a single index, and the patients benefited well. In conclusion, serum Gal-3 and IL-17 levels are closely related to pulmonary ultrasound scores in children with NIP. Clinical detection of serum Gal-3 and IL-17 levels can assess the risk of secondary RDS in children with NIP.

Key words: neonatal infectious pneumonia, galectin-3, interleukin-17, pulmonary ultrasound score