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外周血中性粒细胞/淋巴细胞比率、血小板/淋巴细胞比率与干燥综合征疾病活动的相关性分析

  

  1. 苏州大学附属第三医院  风湿免疫科,江苏 常州 213000
  • 出版日期:2017-12-05 发布日期:2017-12-14
  • 通讯作者: 通信作者:吴敏,Email:wuumin@163.com

Neutrophiltolymphocyte ratio and platelettolymphocyte ratio as markers in assessing disease activity in Sjogren's syndrome

  1. Department of Rheumatology and Immunology, the Third Affiliated Hospital of Soochow University, Changzhou 213000, China
  • Online:2017-12-05 Published:2017-12-14
  • Contact: Corresponding author: Wu Min, Email: Wuumin@163.com

摘要: 目的  探讨外周血中性粒细胞/淋巴细胞比率(NLR)、血小板/淋巴细胞比率(PLR)在干燥综合征(SS)患者病情评估中的价值。方法  收集就诊于我院的62例干燥综合征患者及51例健康体检者临床资料,计算其NLR、PLR数值,比较两组NLR、PLR差异。分析SS患者NLR、PLR与各临床指标的相关性。以ESSDAI评分>4分为活动,绘制ROC曲线评价NLR、PLR对疾病活动的判断作用。结果  SS患者NLR、PLR水平高于健康对照者。两者均与球蛋白、IgG、IgA、RF正相关,与总胆固醇(TC) 、低密度脂蛋白胆固醇(LDLC)负相关,且两者间亦呈正相关。多元线性回归分析显示NLR与PLR、TC、LDLC相关,而PLR则与NLR、球蛋白、IgG、TC相关。ROC曲线分析显示PLR对评估SS病情活动性的特异度较高。结论  NLR、PLR与SS病情相关,对于SS疾病活动评估有一定价值。

关键词: 干燥综合征, 粒细胞, 淋巴细胞, 血小板

Abstract: Objective  To explore the relationships between neutropiltolymphocyte ratio (NLR), platelettolymphocyte ratio (PLR) and disease activity in Sjogren's syndrome (SS). Methods  Clinical data of sixtytwo patients with SS and fiftyone healthy controls were collected. NLR and PLR were calculated and compared between two groups through nonparametric test. Correlation among NLR, PLR and other data in SS patients were analyzed by pearson correlation and multiple linear regression. EULAR SS disease activity index (ESSDAI) was used to assess disease activity. The ROC curve was drawn to evaluate whether NLR or PLR could reflect disease activity in SS. Results   In SS patients, NLR and PLR levels were higher than those of healthy controls. Both NLR and PLR were positively correlated with globulin, IgG, IgA, RF and negatively correlated with total cholesterol (TC) and low density lipoprotein cholesterol (LDLC). NLR was positively correlated with PLR as well. Multiple linear regression analysis showed NLR was correlated with PLR, TC and LDLC, while PLR was correlated with NLR, globulin, IgG and TC. The ROC curve showed PLR could reflect disease activity with higher specificity. Conclusion  NLR and PLR were correlated with SS severity and may be helpful in assessing  the  disease activity.

Key words: Sjogren’s syndrome, granulocytes, lymphocytes, blood , platelets