Zhu Aiqun, Zou Ting, Xiong Guangzhong, Zhang Jingping
a Nursing School of Central South University; The Second Xiangya Hospital of Central South University ; Changsha , Hunan 410013 , China.
b Department of Neurology, The Second Xiangya Hospital , Central South University , Changsha , Hunan 410011 , China.
Int J Neurosci. 2016;126(4):335-41. doi: 10.3109/00207454.2015.1015723. Epub 2015 May 22.
Uric acid (UA) plays an important role in the oxidant stress that causes inflammation. We assessed the association between UA and neutrophil ratio, white blood cell (WBC) count and blood lipid in 524 patients admitted with stroke. Stroke patients with a neutrophil ratio >70% displayed significantly lower UA levels than those with a neutrophil ratio ≤70% (p < 0.05). According to UA quartiles, neutrophil ratio, WBC count, and high-density lipoprotein cholesterol in the UA grade 1 group (≤214.10 μmol/L) were significantly increased over those in other UA grade groups. The results of stepwise regression analysis found that UA levels were inversely associated with neutrophil ratios (B ± SE = -1.11 ± 0.35), high-density lipoprotein cholesterol (B ± SE = -46.18 ± 14.17), total cholesterol (B ± SE = 9.82 ± 3.66), blood urea nitrogen (B ± SE = 6.30 ± 1.73), and creatinine (B ± SE = 0.63 ± 0.10). There is a correlationship between lower serum uric acid with neutrophil ratios in inflammation associated with stroke and the reasons need to be investigated further.
尿酸(UA)在导致炎症的氧化应激中起重要作用。我们评估了524例因中风入院患者的尿酸与中性粒细胞比例、白细胞(WBC)计数和血脂之间的关联。中性粒细胞比例>70%的中风患者的尿酸水平显著低于中性粒细胞比例≤70%的患者(p<0.05)。根据尿酸四分位数,尿酸1级组(≤214.10μmol/L)的中性粒细胞比例、白细胞计数和高密度脂蛋白胆固醇显著高于其他尿酸分级组。逐步回归分析结果发现,尿酸水平与中性粒细胞比例(B±SE=-1.11±0.35)、高密度脂蛋白胆固醇(B±SE=-46.18±14.17)、总胆固醇(B±SE=9.82±3.66)、血尿素氮(B±SE=6.30±1.73)和肌酐(B±SE=0.63±0.10)呈负相关。中风相关炎症中血清尿酸降低与中性粒细胞比例之间存在相关性,其原因有待进一步研究。