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使用中性粒细胞、嗜酸性粒细胞、嗜碱性粒细胞和血小板与淋巴细胞比值预测鼻中隔成形术加下鼻甲切除术患者的满意度。

Use of Neutrophil, Eosinophil, Basophil, and Platelet to Lymphocyte Ratio to Predict Patient Satisfaction After Septoplasty Plus Inferior Turbinate Reduction.

作者信息

Kökoğlu Kerem, Şahin Mehmet Ilhan

机构信息

Ear Nose and Throat Clinic, Develi HMK State Hospital.

Department of Otolaryngology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

出版信息

J Craniofac Surg. 2019 Jun;30(4):1022-1026. doi: 10.1097/SCS.0000000000005527.

Abstract

AIM

Investigation of the predictive value of neutrophil, platelet, eosinophil, and basophil to lymphocyte ratio (NLR, PLR, ELR, and BLR) in evaluation of patients' satisfaction of septoplasty + inferior turbinate reduction operations.

PATIENTS AND METHODS

Seventy-six patients who were operated because of nasal obstruction were enrolled in the study. They were invited to the hospital and asked to answer a modified nasal obstruction symptom evaluation (NOSE) survey to determine their degree of satisfaction. Patients were divided into 2 groups according to their modified NOSE survey results, dissatisfied and satisfied groups. The 2 groups were compared in terms of demographic data, surgery, and hematological values. In addition, correlation analysis was performed between NLR, PLR, ELR, BLR, and modified NOSE scores.

RESULTS

There were 29 patients in the dissatisfied group and 47 patients in the satisfied group. Both groups were similar in terms of mean age, gender, surgery type, septal deviation type, smoking, hemoglobin, neutrophil, and white blood count (P > 0.05). There were significant differences between the 2 groups in terms of ELR and BLR (P < 0.05). In addition, there were negative and statistically significant correlations between modified NOSE scores and ELR and BLR. As ELR and BLR values increased, the satisfaction rate decreased.

CONCLUSION

Eosinophil to lymphocyte ratio and BLR could be used to predict patient satisfaction after septoplasty and inferior turbinate reduction and for selection of patients.

摘要

目的

研究中性粒细胞、血小板、嗜酸性粒细胞及嗜碱性粒细胞与淋巴细胞比值(NLR、PLR、ELR和BLR)在评估鼻中隔成形术+下鼻甲切除术患者满意度中的预测价值。

患者与方法

纳入76例因鼻塞接受手术的患者。邀请他们到医院,并要求他们回答一份改良的鼻塞症状评估(NOSE)调查问卷,以确定其满意度。根据改良NOSE调查结果将患者分为两组,即不满意组和满意组。比较两组患者的人口统计学数据、手术情况及血液学指标。此外,对NLR、PLR、ELR、BLR与改良NOSE评分进行相关性分析。

结果

不满意组29例,满意组47例。两组在平均年龄、性别、手术类型、鼻中隔偏曲类型、吸烟情况、血红蛋白、中性粒细胞及白细胞计数方面相似(P>0.05)。两组在ELR和BLR方面存在显著差异(P<0.05)。此外,改良NOSE评分与ELR和BLR之间存在负相关且具有统计学意义。随着ELR和BLR值升高,满意率降低。

结论

嗜酸性粒细胞与淋巴细胞比值及BLR可用于预测鼻中隔成形术和下鼻甲切除术后患者的满意度,并用于患者的选择。

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