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中华诊断学电子杂志 ›› 2015, Vol. 03 ›› Issue (02) : 133 -137. doi: 10.3877/cma.j.issn.2095-655X.2015.02.013

所属专题: 文献

临床思维

慢性阻塞性肺疾病急性加重期相关生物标志物及其诊断意义
郭凯1, 殷少军2,()   
  1. 1. 200031 上海交通大学医学院附属瑞金医院远洋分院内科
    2. 200233 上海交通大学附属第六人民医院东院呼吸内科
  • 收稿日期:2014-09-23 出版日期:2015-05-26
  • 通信作者: 殷少军
  • 基金资助:
    上海市卫生局科研基金(2010082); 上海市干部保健局科研基金(2011GB24); 上海市医学会老年医学专科分会基金(LN2011006); 上海申康医院发展中心郊区三级医院临床能力建设项目(SHDC12013901)

Progress and diagnostic value of related biomarkers in acute exacerbation of chronic obstructive pulmonary disease

Kai Guo1, Shaojun Yin2,()   

  1. 1. Department of Internal Medicine, Yuanyang Branch of Ruijin Hospital, Shanghai 200031, China
    2. Department of Respiratory Medicine, Shanghai Six Reople′s Hospital, Shanghai 200233, China
  • Received:2014-09-23 Published:2015-05-26
  • Corresponding author: Shaojun Yin
  • About author:
    Corresponding author: Yin Shaojun, Email:
引用本文:

郭凯, 殷少军. 慢性阻塞性肺疾病急性加重期相关生物标志物及其诊断意义[J]. 中华诊断学电子杂志, 2015, 03(02): 133-137.

Kai Guo, Shaojun Yin. Progress and diagnostic value of related biomarkers in acute exacerbation of chronic obstructive pulmonary disease[J]. Chinese Journal of Diagnostics(Electronic Edition), 2015, 03(02): 133-137.

慢性阻塞性肺疾病是临床常见的肺部疾病,其急性加重(AECOPD)是造成老年人死亡的重要原因之一,早诊断、早治疗是及早阻止疾病发展、改善预后的关键。研究发现AECOPD可能与蛋白酶-抗蛋白酶失衡、氧化应激、炎症及细胞损伤等有关,因此对相关的生物标志物进行研究有助于评估病情的严重程度及治疗情况。近10年,肺生物标志物的具体采样方法有了革命性的创新,主要包括非侵入性、半侵入性以及侵入性方法。本文从这几个方面对所获肺组织标本中的生物标志物进行总结,阐述了呼出气、呼出气冷凝液、自然痰、诱导痰、支气管肺泡灌洗液及肺组织标本中存在的相关炎症生物标志物,并试图突出其相互的联系、解释其潜在的临床作用,以期有助于AECOPD更有意义的临床评估,为治疗选择提供更多参考。

Chronic obstructive pulmonary disease(COPD) is a common lung disease in clinic, and its acute exacerbation (AECOPD) is one of the important cause of death in the elderly.Earlier diagnosis and treatment is vital for preventing the development of diseases and improving prognosis.Studies have shown that AECOPD may be related to protease-antiprotease imbalances, oxidative stress, inflammation, and cell damage and so on, so the study of related biomarkers can help assess the severity and the treatment of the illness.Innovative sampling techniques which mainly include non-invasive, semi-invasive and invasive methods have led to the identification of several pulmonary biomarkers in the past decade.Pulmonary biomarkers are sampled in the exhaled air, exhaled breath condensate, spontaneous sputum, induced sputum, bronchoalveolar lavage fluid and lung biopsies.This article try to highlight the reciprocal links and illustrate the clinical effects of these biomarkers, expecting to contribute to the more significant clinical assessment in AECOPD and provide more references for treatment options.

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