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中性粒细胞与淋巴细胞比值和血小板与淋巴细胞比值在临床上对预测早期流产有用吗?

Are neutrophil to lymphocyte ratio and platelet to lymphocyte ratio clinically useful for the prediction of early pregnancy loss?

作者信息

Oğlak Süleyman Cemil, Aydın Mustafa Fırat

机构信息

Department of Gynecology and Obstetrics, Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.

出版信息

Ginekol Pol. 2020;91(9):524-527. doi: 10.5603/GP.a2020.0082.

Abstract

OBJECTIVES

Red cell distribution width (RDW), mean platelet volume (MPV), plateletcrit (PCT), platelet distribution width (PDW), neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) have all been identified as systemic inflammatory markers. The aim of this study to investigate whether the use of systemic inflammatory markers can predict early pregnancy loss.

MATERIAL AND METHODS

A total of 137 patients with early pregnancy loss was compared with 148 participants in the control group who had given birth at term. In the study group, CBC values were included in the study at the time of referral to the hospital for routine follow-up, while patients did not experience early pregnancy loss. In the control group, CBC values of the patient before the seventh week of pregnancy were included in the study.

RESULTS

There was no significant difference between the two groups in terms of RDW, MPV, PCT and PDW values. The NLR and PLR values were significantly higher in the early pregnancy loss group than the control group (p < 0.05).

CONCLUSION

Our findings suggest that high NLR and PLR values are potent markers for the prediction of early pregnancy loss.

摘要

目的

红细胞分布宽度(RDW)、平均血小板体积(MPV)、血小板压积(PCT)、血小板分布宽度(PDW)、中性粒细胞与淋巴细胞比值(NLR)以及血小板与淋巴细胞比值(PLR)均已被确定为全身炎症标志物。本研究旨在调查使用全身炎症标志物是否能够预测早期妊娠丢失。

材料与方法

将137例早期妊娠丢失患者与148例足月分娩的对照组参与者进行比较。在研究组中,患者在因常规随访转诊至医院时纳入血常规(CBC)值的研究,此时患者未发生早期妊娠丢失。在对照组中,纳入患者妊娠第7周前的血常规值进行研究。

结果

两组在RDW、MPV、PCT和PDW值方面无显著差异。早期妊娠丢失组的NLR和PLR值显著高于对照组(p<0.05)。

结论

我们的研究结果表明,高NLR和PLR值是预测早期妊娠丢失的有效标志物。

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