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目的:探讨血清IL-1β、IL-10水平与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中医证候的关系。方法:选取2015年6月~2016年6月在我院就诊治疗的OSAHS患者24例进行研究,符合中医痰症的12例OSAHS患者作为痰症组,不符合中医痰证的12例作为其他组,另取12例健康查体组患者作为对照组。分析IL-1β和IL-10与OSAHS中医证候分型的关系。结果:IL-1β水平为正常组<痰症组<其他组,差异有统计学意义(P<0.05);IL-10水平为正常组>痰症组>其他组,差异有统计学意义(P<0.05)。IL-1β和IL-10诊断OSAHS的灵敏度和特异性分别为66.67%、95.83%和100%、91.67%。IL-1β和IL-10诊断其他类型OSAHS的灵敏度和特异性分别为83.33%、75.00%和91.67%、83.33%。IL-1β诊断OSAHS痰证的灵敏度为50.00%,特异性为95.83%,AUC为0.729,95CI%为0.556~0.863;IL-10诊断OSAHS痰症的灵敏度为58.33%,特异性为83.33%,AUC为0.708,95%CI为0.533~0.847。结论:OSAHS患者体内存在炎症因子增高和抗炎症因子降低,IL-1β和IL-10水平对OSAHS中医证候分型有诊断价值。
Objective: To investigate the relationship between serum IL-1β, IL-10 and TCM Syndromes of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: Twenty-four patients with OSAHS treated in our hospital from June 2015 to June 2016 were selected. Twelve OSAHS patients with TCM phlegm were selected as sputum patients and 12 patients without TCM phlegm syndrome as other patients , Another 12 cases of health examination group as a control group. Analysis of IL-1β and IL-10 and OSAHS TCM syndromes. Results: The levels of IL-1β in the normal group phlegm group> other groups, the difference was statistically significant <0.05). The sensitivity and specificity of IL-1β and IL-10 in the diagnosis of OSAHS were 66.67%, 95.83% and 100%, 91.67% respectively. The sensitivity and specificity of IL-1β and IL-10 in diagnosing other types of OSAHS were 83.33%, 75.00% and 91.67%, 83.33%, respectively. The sensitivity of IL-1β in diagnosing OSAHS phlegm syndrome was 50.00%, specificity was 95.83%, AUC was 0.729 and 95% CI was 0.556-0.863. The sensitivity and specificity of IL-10 in diagnosing OSAHS sputum were 58.33% and 83.33%, respectively 0.708, 95% CI 0.533 ~ 0.847. CONCLUSIONS: There is an increase of inflammatory factors and anti-inflammatory factors in OSAHS patients. The levels of IL-1β and IL-10 are of diagnostic value in the classification of OSAHS syndromes.