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血小板与淋巴细胞比值及中性粒细胞与淋巴细胞比值对过敏性肺炎患者的预测价值。

Predictive value of platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in patients with hypersensitivity pneumonia.

机构信息

Department of Pulmonology, Health Siences University Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey.

出版信息

Sarcoidosis Vasc Diffuse Lung Dis. 2020;37(4):e2020012. doi: 10.36141/svdld.v37i4.9966. Epub 2020 Dec 16.

DOI:10.36141/svdld.v37i4.9966
PMID:33597799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7883515/
Abstract

AIM

To evaluate Platelet-to-Lymphocyte Ratio (PLR) and Neutrophil-to-Lymphocyte Ratio (NLR) in patients with HP.

METHOD

A sample of 140 total patients, 50 having chronic HP and 20 having acute HP, and a control group of 70 more patients were included in this retrospective study conducted with hospital Ethical Committee approval.

RESULTS

PLR and NLR values were significantly higher in all HP patients than in the control group ( p <0.001). In addition, these biomarkers were significantly higher in patients with acute HP than in the chronic HP group (p = 0.017 and p = 0.044, respectively). The cutoff values for PLR and NLR were: (1) 177 (p = 0.020) and 2.76 (p <0.0001) between the HP patients and the control group, and, (2) 110 (p = 0.0054) and 2.15 (p = 0.03), between the acute and chronic HP groups.

CONCLUSION

PLR and NLR values are inexpensive and easy parameters that can guide in diagnosing hypersensitivity pneumonia in combination with clinical, radiological and pathology findings.and the acute-chronic differentiation of the disease. .

摘要

目的

评估血小板与淋巴细胞比值(PLR)和中性粒细胞与淋巴细胞比值(NLR)在 HP 患者中的作用。

方法

本回顾性研究共纳入 140 例患者,其中慢性 HP 患者 50 例,急性 HP 患者 20 例,对照组 70 例,均获得医院伦理委员会批准。

结果

所有 HP 患者的 PLR 和 NLR 值均明显高于对照组(p<0.001)。此外,急性 HP 患者的这些生物标志物明显高于慢性 HP 组(p=0.017 和 p=0.044)。PLR 和 NLR 的截断值为:(1)HP 患者与对照组之间分别为 177(p=0.020)和 2.76(p<0.0001),(2)急性和慢性 HP 组之间分别为 110(p=0.0054)和 2.15(p=0.03)。

结论

PLR 和 NLR 值是廉价且易于获取的参数,与临床、影像学和病理学发现相结合,有助于诊断变应性肺炎,并有助于区分疾病的急慢性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3598/7883515/406778482c3b/SVDLD-37-12-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3598/7883515/88dbd4be0be3/SVDLD-37-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3598/7883515/406778482c3b/SVDLD-37-12-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3598/7883515/88dbd4be0be3/SVDLD-37-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3598/7883515/406778482c3b/SVDLD-37-12-g002.jpg

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Diagnosis of Hypersensitivity Pneumonitis in Adults. An Official ATS/JRS/ALAT Clinical Practice Guideline.成人过敏性肺炎的诊断。美国胸科学会/日本呼吸学会/拉丁美洲胸科学会临床实践指南。
Am J Respir Crit Care Med. 2020 Aug 1;202(3):e36-e69. doi: 10.1164/rccm.202005-2032ST.
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Utility of precipitating antibody testing in the diagnostic evaluation of chronic hypersensitivity pneumonia.沉淀抗体检测在慢性过敏性肺炎诊断评估中的应用
Sarcoidosis Vasc Diffuse Lung Dis. 2017;34(2):149-155. doi: 10.36141/svdld.v34i2.5467. Epub 2017 Apr 28.
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Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratios Predict All-Cause Mortality in Acute Pulmonary Embolism.
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Systematic review of the diagnostic role of neutrophil to lymphocyte ratio in sarcoidosis.结节病中中性粒细胞与淋巴细胞比值诊断作用的系统评价
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