首页|系统性红斑狼疮患者血小板参数及血小板反应蛋白1水平与疾病活动度的关系

系统性红斑狼疮患者血小板参数及血小板反应蛋白1水平与疾病活动度的关系

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[目的]探讨系统性红斑狼疮(SLE)患者血小板(PLT)相关参数及 PLT 反应蛋白 1(TSP-1)水平与疾病活动度的关系.[方法]本院收治的 83 例 SLE 患者为观察组,另选取同期体检的 62 例健康志愿者为对照组.比较两组一般资料、生化指标、PLT相关参数及TSP-1 水平,采用 Logistic多因素回归分析影响 SLE患者疾病活动度的相关因素,采用受试者工作特征(ROC)曲线分析 PLT 参数及 TSP-1 评估 SLE 患者疾病活动度的价值.[结果]观察组PLT计数、PLT 压积、大 PLT 百分率均低于对照组(P<0.05),观察组 PLT 平均容积(MPV)、PLT体积分布宽度(PDW)、TSP-1 水平均高于对照组(P<0.05).Logistic 多因素回归分析显示,IgG、MPV、C3、C4、PLT、TSP-1 水平是影响 SLE患者疾病活动度的相关因素(P<0.05).ROC曲线分析显示,MPV、PLT、TSP-1 及三者联合评估 SLE患者疾病活动度的灵敏度分别为 72.41%、75.86%、68.97%、79.31%,特异度分别为70.37%、79.63%、77.78%、83.33%,曲线下面积(AUC)分别为 0.723、0.751、0.739、0.892.[结论]PLT 参数中的MPV、PLT及TSP-1 与 SLE患者疾病活动度有关,其联合评估 SLE患者疾病活动度的效能良好.
The Relationship between Platelet Parameters,Platelet Reactive Protein 1 Levels,and Disease Ac-tivity in Patients with Systemic Lupus Erythematosus
[Objective]To explore the relationship between platelet(PLT)related parameters,PLT reactive protein 1(TSP-1)levels,and disease activity in patients with systemic lupus erythematosus(SLE).[Methods]A total of 83 SLE patients admitted to our hospital were selected as the observation group,and 62 healthy individuals who underwent physi-cal examinations during the same period were selected as the control group.Two groups of general information,biochemi-cal indicators,PLT related parameters,and TSP-1 levels were compared;Logistic multiple regression analysis was used to identify the factors influencing disease activity in SLE patients,and receiver operating characteristic(ROC)curve anal-ysis was used to evaluate the value of PLT parameters and TSP-1 in evaluating disease activity in SLE patients.[Results]The PLT count,PLT volume,and percentage of large PLT in the observation group were all lower than those in the con-trol group(P<0.05).The average PLT volume(MPV),PLT volume distribution width(PDW),and TSP-1 level in the observation group were higher than those in the control group(P<0.05).Logistic multiple regression analysis showed that IgG,MPV,C3,C4,PLT,and TSP-1 levels were related factors affecting disease activity in SLE patients(P<0.05).ROC curve analysis showed that the sensitivity of MPV,PLT,TSP-1,and their combined evaluation for disease activity in SLE patients were 72.41%,75.86%,68.97%,and 79.31%,respectively.The specificity was 70.37%,79.63%,77.78%,and 83.33%,respectively.The area under the curve(AUC)was 0.723,0.751,0.739,and 0.892,respectively.[Conclusion]MPV,PLT,and TSP-1 in PLT parameters are related to disease activity in SLE pa-tients,and their combined evaluation of disease activity in SLE patients has good efficacy as evaluation indicators.

Lupus Erythematosus,SystemicPlatelet CountThrombopoietin

朱桂芝、王峰、曲燕、倪萍

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康复大学青岛中心医院(青岛市中心医院) 皮肤科,山东青岛 266042

康复大学青岛中心医院(青岛市中心医院) 心理门诊,山东青岛 266042

康复大学青岛中心医院(青岛市中心医院) 感染性疾病科,山东青岛 266042

康复大学青岛中心医院(青岛市中心医院) 规培办公室,山东青岛 266042

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红斑狼疮,系统性 血小板计数 血小板生成素

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(2)
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