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甲状腺眼病的炎症标志物:一项荟萃分析。

Inflammatory Markers in Thyroid Eye Disease: A Meta-Analysis.

机构信息

Division of General Practice, Department of Medical Education, Changhua Christian Hospital, Changhua, Taiwan R O C.

Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan R O C.

出版信息

Endocr Res. 2024 Aug-Nov;49(4):193-202. doi: 10.1080/07435800.2024.2362787. Epub 2024 Jun 13.

Abstract

Thyroid Eye Disease (TED) is an inflammatory autoimmune condition affecting the eyes, often associated with Graves' disease. Inflammation is important in TED, involving immune cells and orbital tissues. While inflammatory markers have been studied in other diseases, their role in TED is unclear. We included 734 participants from 5 eligible studies investigated associations between neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and monocyte-to-lymphocyte ratio (MLR) and TED. Initial analysis found no significant differences in these markers between TED and control groups. However, sensitivity analysis excluding an outlier study revealed significant differences in NLR, PLR, and MLR between groups, suggesting the potential association between these inflammatory markers and TED. More research is needed, but these findings indicate complex TED pathogenesis and that inflammation may offer insights for TED diagnosis and management.

摘要

甲状腺眼病(TED)是一种影响眼睛的炎症性自身免疫性疾病,常与格雷夫斯病有关。炎症在 TED 中很重要,涉及免疫细胞和眼眶组织。虽然在其他疾病中已经研究了炎症标志物,但它们在 TED 中的作用尚不清楚。我们纳入了 5 项合格研究中的 734 名参与者,以研究中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)和单核细胞与淋巴细胞比值(MLR)与 TED 之间的关系。初步分析发现这些标志物在 TED 和对照组之间没有显著差异。然而,排除异常值研究的敏感性分析显示,两组之间 NLR、PLR 和 MLR 存在显著差异,表明这些炎症标志物与 TED 之间存在潜在关联。需要进一步研究,但这些发现表明 TED 发病机制复杂,炎症可能为 TED 的诊断和治疗提供新的思路。

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