[1]刘挺挺,李 虎,马 炜,等.重症肌无力患者外周血中性粒细胞/淋巴细胞比值和血小板/淋巴细胞比值的临床意义[J].现代检验医学杂志,2016,31(01):65-68.[doi:10.3969/j.issn.1671-7414.2016.01.018]
 LIU Ting-ting,LI Hu,MA Wei,et al.Clinical Significance of Neutrophils/Lymphocyte and Platelet/Lymphocyte Ratio of Peripheral Blood in Patients with Myasthenia Gravis[J].Journal of Modern Laboratory Medicine,2016,31(01):65-68.[doi:10.3969/j.issn.1671-7414.2016.01.018]
点击复制

重症肌无力患者外周血中性粒细胞/淋巴细胞比值和血小板/淋巴细胞比值的临床意义()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第31卷
期数:
2016年01期
页码:
65-68
栏目:
论著
出版日期:
2016-01-25

文章信息/Info

Title:
Clinical Significance of Neutrophils/Lymphocyte and Platelet/Lymphocyte Ratio of Peripheral Blood in Patients with Myasthenia Gravis
作者:
刘挺挺李 虎马 炜陈 燕谷明莉张 蕾邓安梅
刘挺挺,李 虎,马 炜,陈 燕,谷明莉,张 蕾,邓安梅
Author(s):
LIU Ting-tingLI HuMA WeiCHEN YanGU Ming-liZHANG LeiDENG An-mei
Laboratory Diagnostics Division,Changhai Hospital Affiliated to the Second Military Medical University,Shanghai 200433,China
关键词:
重症肌无力 中性粒细胞/淋巴细胞比值 血小板/淋巴细胞比值 炎症
分类号:
R746.1; R446.11
DOI:
10.3969/j.issn.1671-7414.2016.01.018
文献标志码:
A
摘要:
目的 探讨重症肌无力(MG)患者外周血中性粒细胞/淋巴细胞比值(NLR)和血小板/淋巴细胞比值(PLR)的临床意义。方法 选取2013年1月~2014年12月期间长海医院收治的54例MG患者及体检的57名健康成人归为MG组及对照组。比较两组及不同临床分型MG患者的WBC计数、NLR及PLR,通过受试者工作曲线(ROC)曲线下的面积评价各指标对MG的诊断价值。结果 MG组的WBC计数、NLR及PLR分别为(6.85±0.37)×109/L,2.48±0.19和118.79±6.38,显著高于对照组(5.87±0.12)×109/L,1.59±0.06和102.01±3.45(P<0.05)。WBC计数、NLR及PLR的ROC曲线下面积分别为0.559,0.717和0.581。Ⅲ或Ⅳ型的PLR显著高于Ⅰ型,Ⅱ型(P<0.05)。结论 MG患者的NLR和PLR均显著升高,NLR的诊断价值更高,PLR可能与疾病严重程度有关。
Abstract:
Objective To investigate the clinical significance of neutrophils/lymphocyte ratio(NLR)and platelet/lymphocyte ratio(PLR)ofperipheral blood in patients with myasthenia gravis(MG).Methods54 patients with MG treating from January 2013 to December 2013 in Changhai hospital and 57 healthy adults who received check-up were enrolled the study as MG group and control group.WBC count,NLR and PLR were compared betweentwo groups and among different clinical classifications in MG patients.The area under the receiver operating characteristic(ROC)curve was performed to evaluate these indicators' diagnostic value for MG.Results The WBC count,NLR and PLR in MG group were(6.85±0.37)×109/L,2.48±0.19and 118.79±6.38 respectively,which were significantly higher than(5.87±0.12)×109/L,1.59±0.06 and 102.01±3.45 in control group(P<0.05).The area under the ROC curve of WBC count,NLR and PLR were 0.559,0.717 and0.581 respectively.PLR of MG patients with type Ⅲ or Ⅳ was significantly higher than that of patients with typeⅠ,Ⅱ(P<0.05).Conclusion NLR and PLR of MG patients increased significantly.The diagnosticvalue of NLR is higher,and PLR may be associated with the severity of disease.

参考文献/References:

[1] Suliman MARM,Juma AAB,Almadhani AAA,et al.Predictive value of neutrophil to lymphocyte ratio in outcomes of patients with acute coronary syndrome[J].Arch Med Res,2010,41(8):618-622.
[2] Kemal Y,Yucel I,Ekiz K,et al.Elevated serum neutrophil to lymphocyteand platelet to lymphocyte ratios could be useful in lung cancer diagnosis [J].Asian Pac J Cancer Prey,2014,15(6):2651-2654.
[3] 中国免疫学会神经免疫学分会,中华医学会神经病学分会神经免疫学组.重症肌无力诊断和治疗中国专家共识[J].中国神经免疫学和神经病学杂志,2012,19(6):401-408. Neuroimmunology Branch of Chinese Society of Immunology,Neuroimmunology Group,Neurology Society,Chinese Medical Association.Diagnosis and treatment of myasthenia gravis,an expert consensus in China[J].Chinese Journal ofNeuroimmunology and Neurology,2012,19(6):401-408.
[4] 徐祖龙,董苏荣,张亚明.WBC,CRP和ESR联合检测在肺炎支原体肺炎中的意义[J].现代检验医学杂志,2015,30(1):153-155. Xu ZL,Dong SR,Zhang YM.Significance of combining with WBC,CRP and ESR detection in patients with mycoplasma pneumoniae pneumonia[J].Journal of Modern Laboratory Medicine,2015,30(1):153-155.
[5] Azab B,Jaglall N,Atallah JP,et al.Neutrophil-lymphocyte ratio as a predictor of adverse outcomes of acute pancreatitis[J].Pancreatology,2011,11(4):445-452.
[6] Hu ZD,Sun Y,Guo J,et al.Red blood cell distribution width and neutrophil/lymphocyte ratio are positively correlated with disease activity in primarySj(¨overo)gren's syndrome[J].Clin Biochem,2014,47(18):287-290.
[7] Celikbilek M,Dogan S,Ozbakir O,et al.Neutrophil-lymphocyte ratio asa predictor of disease severity in ulcerative colitis[J].J Clin Lab Anal,2013,27(1):72-76.
[8] Polat M,Senol T,Ozkaya E,et al.Neutrophil to lymphocyte and plateletto lymphocyte ratios increase in ovarian tumors in the presence of frank stromalinvasion[J].Clin Transl Oncol,2015:Epub Ahead of Print.
[9] Fan W,Zhang Y,Wang Y,et al.Neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios as predictors of survival and metastasis for recurrent hepatocellular carcinoma after transarterial chemoembolization[J].PLoS One,2015,10(3):e0119312.
[10] Fu H,Qin B,Hu Z,et al.Neutrophil- and platelet-to-lymphocyte ratios are correlated with disease activity in rheumatoid arthritis[J].Clin Lab,2015,61(3/4):269-273.

相似文献/References:

[1]梁 芸,万玲玲,李玉雪,等.Titin抗体检测在重症肌无力并发胸腺瘤诊断中的价值[J].现代检验医学杂志,2016,31(04):38.[doi:10.3969/j.issn.16717-414.2016.04.009]
 LIANG Yun,WAN Ling-ling,LI Yu-xue,et al.Clinical Significance of Titin Antibody Detection in the Diagnosis of Myasthenia Gravis Combined Thymoma[J].Journal of Modern Laboratory Medicine,2016,31(01):38.[doi:10.3969/j.issn.16717-414.2016.04.009]
[2]刘挺挺a,谷明莉a,张 蕾a,等.原发性胆汁性肝硬化患者外周血中性粒细胞/淋巴细胞比值及其临床意义[J].现代检验医学杂志,2016,31(05):127.[doi:10.3969/j.issn.1671-7414.2016.05.036]
 LIU Ting-tinga,GU Ming-lia,ZHANG Leia,et al.Clinical Significance of Neutrophils/Lymphocyte of Peripheral Blood in Patients with Primary Biliary Cirrhosis[J].Journal of Modern Laboratory Medicine,2016,31(01):127.[doi:10.3969/j.issn.1671-7414.2016.05.036]
[3]段海燕,张 华,杨 波.重症肌无力患儿血清 YKL-40水平变化及临床意义[J].现代检验医学杂志,2022,37(01):186.[doi:10.3969/j.issn.1671-7414.2022.01.038]
 DUAN Hai-yan,ZHANG Hua,YANG Bo.Changes of Serum YKL-40 Level in Children with Myasthenia Gravis and Its Clinical Significance[J].Journal of Modern Laboratory Medicine,2022,37(01):186.[doi:10.3969/j.issn.1671-7414.2022.01.038]

备注/Memo

备注/Memo:
基金项目:973项目子课题(2013CB531606); 国家自然科学基金(81471605,81302579,81300748,81273282,81202353); 上海申康基金(CHDC22014014); 长海医院基金资助项目(CH125530300); 南京军区医药卫生科研基金(12MA056); 军队科研基金(BWS14J023)。 作者简介:(1989-),女,在读硕士研究生,主要从事感染免疫和自身免疫研究,Tel:021-31162061,E-mail:ltt2109@163.com。
更新日期/Last Update: 2016-01-20