己酮可可碱对大鼠溃疡性结肠炎TNF-α及IL-1β表达的影响

Combined detection of serum follistain-like protein 1, C-reactive protein and D-dimer for early diagnosis of ulcerative colitis

AIM: To explore the significance of joint detection of blood follistain-like protein 1 (FSTL1), C-reactive protein (CRP) and D-dimer in the early diagnosis of ulcerative colitis.

METHODS: Venous blood samples were collected from 67 patients with ulcerative colitis and 60 healthy people. Serum levels of FSTL1, CRP and D-dimer were detected by ELISA, and the significance of combined detection of the three indexes in the early diagnosis of ulcerative colitis was analyzed.

RESULTS: Serum levels of FSTL1, CRP and D-two dimer were significantly higher in UC patients than in normal controls, and in patients with active UC than in those in remission (t = 10.671, 10.398, 31.873, P < 0.05 for all). With the aggravation of the disease, serum levels of FSTL1, CRP and D-dimer significantly increased in patients with UC, and the levels were significantly higher in the severe group than in the moderate and mild groups (t = 5. 766, 5.821, 2.307, 2.213, 2.789, 2.363, P < 0.05 for all). Serum levels of FSTL1, CRP, and D-dimer were significantly correlated with UC disease activity index (DAI) (r = 0.511, 0.312, 0.317, P < 0.05 for all). The sensitivity and negative predictive value of combined detection of FSTL1, CRP and D-dimer were significantly higher than those of detection of any one of the indexes (χ² = 0.013, 4. 823, P < 0.05).

CONCLUSION: The joint detection of serum FSTL1, CRP and D-dimer can be used for early diagnosis of ulcerative colitis.