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系统性炎症生物指标与丙型肝炎病毒RNA载量的相关性研究

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目的:研究慢性丙型肝炎病毒(HCV)感染患者系统性炎症生物指标如淋巴细胞/单核细胞比值(LMR)、中性粒细胞/单核细胞比值(NMR)、中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、全身免疫-炎症指数(SII,血小板计数×中性粒细胞数/淋巴细胞数)等与HCV RNA载量的相关性.方法:选择大连市传染病医院无其他肝病和重大疾病的 196 例慢性丙型肝炎患者作为研究对象,采集 2 mL外周全血进行血常规检测.HCV RNA的病毒载量采用全自动核酸分离、纯化和检测系统.对患者的病毒载量与LMR、NMR、NLR、PLR和SII进行相关性分析,研究上述指标与HCV RNA载量的关系.病毒载量检测结果用以 10为底的对数形式表示.结果:Spearman相关性分析显示,HCV RNA载量与LMR、NMR、NLR、PLR及SII等指标无相关性(P>0.05).在不同HCV RNA载量组别中,性别、年龄、LMR、NMR、NLR、PLR及SII等指标的分布没有统计学差异(P>0.05).结论:本研究通过对慢性丙型肝炎患者NMR、LMR、NLR、PLR、SII等炎症指标与HCV RNA载量的相关性进行研究发现,NMR、LMR、NLR、PLR、SII等炎症指标与HCV RNA病毒载量之间无紧密关联性,不能用来评估患者HCV RNA载量的水平.
Study on the correlation between systemic inflammatory biomarkers and hepatitis C virus RNA load
Objective:To investigate the correlation between systemic inflammatory biomarkers,such as lymphocyte-to-monocyte ratio(LMR),neutrophil-to-monocyte ratio(NMR),neutrophil/lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),systemic immune-inflammation index(SII,i.e.platelet count×neutrophil/lymphocyte count),and HCV RNA loading in patients with chronic hepatitis C virus(HCV)infection.Methods:One hundred and ninety-six chronic hepatitis C patients without other liver diseases and major diseases from Dalian were selected as the study subjects,and 2 mL peripheral blood was collected for blood routine testing.The viral load of HCV RNA was determined by a fully automated nucleic acid isolation,purification,and detection system.Correlation analysis and comparison were performed between the viral load of patients and LMR,NMR,NLR,PLR,SII,and the relationship between the above indicators and HCV RNA load was studied.The results of viral load detection were expressed in logarithmic form with a base of 10.Results:Spearman correlation analysis showed no correlation between HCV RNA load and indicators such as LMR,NMR,NLR,PLR,and SII(P>0.05).There were no statistically significant differences in the distribution of indicators such as gender,age,LMR,NMR,NLR,PLR,and SII among different HCV RNA load groups(P>0.05).Conclusions:This study finds that there is no tight correlation between these inflammatory indicators such as NMR,LMR,NLR,PLR,SII and HCV RNA viral load and which cannot be used to assess the level of HCV RNA load in patients.

Hepatitis C virus RNALymphocyte-to-monocyte ratioNeutrophil-to-monocyte ratioNeutrophil-to-lymphocyte ratioPlatelet-to-lymphocyte ratioSystemic immune-inflammation index

邵林楠、韩梅、于南

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大连市血液中心血型室,辽宁 大连 116001

大连医科大学附属第一医院病理科,辽宁 大连 116011

大连市传染病医院肝病科,辽宁 大连 116033

丙型肝炎病毒 淋巴细胞/单核细胞比值 中性粒细胞/单核细胞比值 中性粒细胞/淋巴细胞比值 血小板/淋巴细胞比值 全身免疫-炎症指数

2024

感染、炎症、修复
解放军总医院第一附属医院

感染、炎症、修复

影响因子:0.404
ISSN:1672-8521
年,卷(期):2024.25(4)