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白塞病中的中性粒细胞/淋巴细胞比值与平均血小板体积

Neutrophil/lymphocyte ratio and mean platelet volume in Behçet's disease.

作者信息

Balkarli A, Kucuk A, Babur H, Erbasan F

机构信息

Department of Internal Medicine, Division of Rheumatology, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Eur Rev Med Pharmacol Sci. 2016 Jul;20(14):3045-50.

Abstract

OBJECTIVE

With this retrospective study, we researched the effects of mean platelet volume (MPV) and neutrophil/lymphocyte ratio (NLR) on the activity of Behçet's disease and susceptibility to thrombosis.

PATIENTS AND METHODS

One hundred eighty-six patients with Behçet's disease, who met the inclusion criteria, were separated into two groups: 120 patients had active Behçet's disease (Group I) and 66 patients with inactive Behçet's disease (Group II). 79 healthy subjects as controls were included in the study.

RESULTS

MPV was similar between all three groups. CRP (C reactive protein) was statistically higher in the active BD group when compared to the inactive BD group and the control group. CRP of the inactive BD and the healthy control group were similar. In addition, erythrocyte sedimentation rate (ESR) was found higher than the control group in both active and inactive BD groups, whereas ESR of the active BD group was higher than the inactive BD group. N/L ratio was found statistically higher in the active BD group when compared to inactive BD and healthy control groups, while the N/L ratio of inactive BD and healthy control groups were found similar to each other. While MPV, CRP, and NLR didn't statistically differ between active BD subgroups with and without thrombosis, ESR was statistically and significantly higher in the active BD group with thrombosis when compared to the active BD group without thrombosis.

CONCLUSIONS

The data obtained from the present study showed that the patients with BD are exposed to chronic inflammation. And the N/L ratio may be a simple, inexpensive, and convenient diagnostic marker of active BD.

摘要

目的

通过这项回顾性研究,我们探究了平均血小板体积(MPV)和中性粒细胞/淋巴细胞比值(NLR)对白塞病活动度及血栓形成易感性的影响。

患者与方法

186例符合纳入标准的白塞病患者被分为两组:120例为活动期白塞病患者(I组),66例为非活动期白塞病患者(II组)。79名健康受试者作为对照组纳入研究。

结果

三组间MPV相似。与非活动期白塞病组和对照组相比,活动期白塞病组的C反应蛋白(CRP)在统计学上更高。非活动期白塞病组和健康对照组的CRP相似。此外,活动期和非活动期白塞病组的红细胞沉降率(ESR)均高于对照组,而活动期白塞病组的ESR高于非活动期白塞病组。与非活动期白塞病组和健康对照组相比,活动期白塞病组的N/L比值在统计学上更高,而非活动期白塞病组和健康对照组的N/L比值彼此相似。虽然有血栓形成和无血栓形成的活动期白塞病亚组之间的MPV、CRP和NLR在统计学上无差异,但与无血栓形成的活动期白塞病组相比,有血栓形成的活动期白塞病组的ESR在统计学上显著更高。

结论

本研究获得的数据表明,白塞病患者面临慢性炎症。N/L比值可能是活动期白塞病一种简单、廉价且便捷的诊断标志物。

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