目的探讨联合检测白介素(IL)-17和抗环瓜氨酸肽(CCP)抗体对类风湿关节炎(RA)活动度及骨侵蚀的预测价值。方法收集80例RA患者和30例健康体检者(健康对照组)的血液样本,应用ELISA检测血清IL-17和抗-CCP抗体,结合双手X线分期,分析RA患者与健康对照者之间,及RA早期与非早期,RA活动期与缓解期,RA骨侵蚀与非骨侵蚀之间IL-17、抗-CCP抗体的差异。结果(1)RA患者的IL-17、抗-CCP抗体高于健康对照者,差异有统计学意义(P<0.05);(2)早期RA组与非早期RA组之间比较,IL-17、抗CCP抗体水平差异无统计学意义(P>0.05),RA活动组高于缓解组、骨侵蚀组高于非骨侵蚀组,差异有统计学意义(P<0.05)。结论IL-17、抗-CCP抗体联合检测对类风湿关节炎活动度及骨侵蚀具有预测价值。
ObjectiveTo investigate the clinical significance of combinational detection of IL-17 and anti-CCP in Rheumatoid Arthritis(RA) activity and bone erosion.MethodsIL-17,anti-CCP of 80 cases of RA patients and 30 cases of health control detected by ELISA,Combined with hand x-ray films,were compared between early RA group and non-early RA group,activity group and inactivity group,bone erosion group and non-bone erosion group.ResultsIL-17 and anti-CCP are both elevated significantly in RA patients compared to the health control;IL-17,anti-CCP in the early RA group and the non-early RA group had no significant difference(P>0.05);there was significant difference(P<0.05) between activity group and non-activity group,bone erosion group and non-bone erosion group.ConclusionIt’s valuable to predict the activity and bone erosion of RA,using Combinational detection of IL-17,anti-CCP.