Correlation between serum Lp-PLA2, Cys-C levels and disease severity in patients with hepatitis B cirrhosis
10.3969/j.issn.1006-2483.2021.03.035
- VernacularTitle:乙肝肝硬化患者血清Lp-PLA2、Cys-C水平与病情程度相关性
- Author:
Shaohui HE
1
;
Mingling DUAN
2
;
Qin HONG
1
;
Gao CHEN
1
Author Information
1. Department of Infection, Deyang People’s Hospital, Deyang, Sichuan 618000 , China
2. Department of Infection, Deyang Peoples Hospital, Deyang, Sichuan 618000 , China
- Publication Type:Journal Article
- Keywords:
Hepatitis B cirrhosis;
Disease severity;
Lipoprotein-related phospholipase A2;
Cystatin;
Correlation
- From:
Journal of Public Health and Preventive Medicine
2021;32(3):149-152
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between serum lipoprotein-related phospholipase A2 (Lp-PLA2), cystatin C (Cys-C) levels and disease severity in patients with hepatitis B cirrhosis (HBC). Methods Clinical data of 110 HBC patients in the hospital from October 2017 to May 2019 were retrospectively analyzed. According to Child-Pugh classification criteria of liver cirrhosis, they were divided into grade A (n=42), grade B (n=37) and grade C groups (n=31). Another 30 healthy controls during the same period were enrolled as control group. The levels of serum Lp-PLA2 and Cys-C were detected. And their correlation with disease severity was analyzed. Results Levels of serum Lp-PLA2 and Cys-C in HBC group were higher than those in control group (P<0.05). The levels of serum Lp-PLA2 and Cys-C were the highest in grade C group, followed by grade B group and grade A group (P<0.05). The areas under the ROC curve (AUC) of serum Lp-PLA2 combined with Cys-C for evaluating grade A and B, grade B and C HBC were 0.875 and 0.837, which were higher than those of Lp-PLA2 (0.772, 0.750) and Cys-C (0.750, 0.691) alone (P<0.05). Spearmann rank correlation analysis showed that levels of serum Lp-PLA2 and Cys-C were positively correlated with disease severity (r=0.659, 0.561, P<0.05). Conclusion The levels of serum Lp-PLA2 and Cys-C are significantly increased in HBC patients, which are gradually increased with the aggravation of HBC. The two indexes are positively correlated with disease severity, which are of diagnostic efficiency for the classification of liver cirrhosis.
