Liao Yixuan, Wu Benquan
Department of Intensive Care Unit, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510630, P.R. China.
Department of Geriatrics, the Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong 518033, P.R. China.
Biomed Rep. 2025 Feb 4;22(4):58. doi: 10.3892/br.2025.1936. eCollection 2025 Apr.
Pulmonary hypertension (PH) can significantly impact the prognosis of interstitial lung disease (ILD). There are limited studies on the clinical characteristics and risk factors of PH associated with ILD (PH-ILD). The present study aimed to analyze the clinical characteristics of patients with PH-ILD and explore the correlation and predictive value of the easily obtainable indicators with respect to the severity of PH in patients with ILD. The results indicated that the red blood cell distribution width (RDW) and mean platelet volume (MPV) of patients with ILD with the moderate-to-severe PH (Ms-PH) were significantly higher compared with those of patients with ILD without PH and those with Mild-PH (P<0.05). Age, RDW, MPV and immunoglobulin G levels were emerged as independent risk factors for Ms-PH in patients with ILD. Receiver operating characteristic curve analysis demonstrated that the combination of RDW and MPV enhances the diagnostic efficiency for Ms-PH in patients with ILD. Consequently, the present study demonstrated that RDW and MPV are predictive factors for Ms-PH in patients with ILD.
肺动脉高压(PH)可显著影响间质性肺疾病(ILD)的预后。关于与ILD相关的PH(PH-ILD)的临床特征和危险因素的研究有限。本研究旨在分析PH-ILD患者的临床特征,并探讨易于获得的指标与ILD患者PH严重程度的相关性及预测价值。结果表明,中重度PH(Ms-PH)的ILD患者的红细胞分布宽度(RDW)和平均血小板体积(MPV)显著高于无PH的ILD患者和轻度PH(Mild-PH)患者(P<0.05)。年龄、RDW、MPV和免疫球蛋白G水平是ILD患者Ms-PH的独立危险因素。受试者工作特征曲线分析表明,RDW和MPV的联合可提高ILD患者Ms-PH的诊断效率。因此,本研究表明RDW和MPV是ILD患者Ms-PH的预测因素。