Objective: To investigate the correlation between serum immune inflammation related protein complexes(IIRPCs),25-hydroxyvitamin D [25(OH)D], Chemerin(Chemerin) and disease activity and intestinal flora in patients with inflammatory bowel disease(IBD). Methods: 150 patients with IBD who were treated in our hospital from December 2020 to December 2021 were selected,including 65 cases of ulcerative colitis(UC) group and 85 cases of Crohn’s disease(CD) group, and 70 healthy subjects in the same period were taken as the control group. The levels of serum IIRPCs, 25(OH)D and Chemerin in the three groups were detected and compared. In addition, patients in UC group and CD group were divided into active group and remission group according to the Crohn’s disease activity index(CDAI) and the modified Mayo score of ulcerative colitis. The levels of serum IIRPCs, 25(OH)D, Chemerin and intestinal flora between active group and remission group were compared, and correlation analysis was made. Results: The levels of serum IIRPCs and Chemerin in patients with IBD were higher than those in the control group, while the level of 25(OH)D was lower than that in the control group(P<0.05). The levels of serum IIRPCs and Chemerin in UC group were higher than those in CD group, and the level of 25(OH)D was lower than that in CD group(P<0.05). The levels of serum IIRPCs, Chemerin, Enterococcus, enterobacter, yeast and bacteroides in patients with active UC and CD were higher than those in patients with remission UC and CD, while the levels of serum 25(OH)D, bifidobacteria and lactobacillus were lower than those in patients with remission UC and CD(P<0.05). Pearsonn correlation analysis showed that the levels of serum IIRPCs and Chemerin in patients with UC and CD were positively correlated with the number of Enterococcus, enterobacter, yeast and Bacteroides, and negatively correlated with the number of Bifidobacterium and Lactobacillus(P<0.05). The level of serum 25(OH)D in patients with UC and CD was negatively correlated with the number of Enterococcus, enterobacter, yeast and Bacteroides, and positively correlated with the number of Bifidobacterium and Lactobacillus(P<0.05). Conclusion: Serum IIRPCs, 25(OH)D and Chemerin are related to disease activity and intestinal flora in patients with IBD. The detection of the above indicators is of certain value in evaluating the severity of patients with IBD. [ABSTRACT FROM AUTHOR]