首页|血清巨噬细胞炎性蛋白-1α、中性粒细胞与淋巴细胞计数比值与肾移植受者术后肺部感染风险的关系分析

血清巨噬细胞炎性蛋白-1α、中性粒细胞与淋巴细胞计数比值与肾移植受者术后肺部感染风险的关系分析

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目的:分析血清巨噬细胞炎性蛋白-1α(MIP-1α)、外周血中性粒细胞与淋巴细胞计数比值(NLR)与肾移植受者术后肺部感染风险的关系。方法:选择308例接受肾移植的患者,根据患者术后是否发生肺部感染分为未感染组(n=253)、感染组(n=55),对比两组血清MIP-1α、外周血NLR。多因素logistic回归分析影响术后肺部感染发生的危险因素。结果:308例肾移植受者术后1年肺部感染发生率为17。86%。感染组血清MIP-1α、外周血NLR比未感染组高(P<0。05)。肾移植受者术后肺部感染的独立危险因素为MIP-1α升高、NLR升高、PCT升高、有吸烟史(P<0。05)。结论:肾移植受者血清MIP-1α及外周血NLR上升会增加术后肺部感染发生风险。
Analysis of the Relationship between Serum Macrophage Inflammatory Protein-1α,Neutrophil to Lymphocyte Count Ratio and the Risk of Pulmonary Infection after Renal Transplantation
Objective:To analyze the relationship between serum macrophage inflammatory protein-1α(MIP-1α),peripheral blood neutrophil to lymphocyte count ratio(NLR)and the risk of pulmonary infection after renal transplantation.Methods:308 patients who underwent renal transplantation were selected,which were divided into uninfected group(n=253)and infected group(n=55)according to whether pulmonary infection occurred after operation.Serum MIP-1 α and peripheral blood NLR were compared in two groups.The risk factors affecting the occurrence of postoperative pulmonary infection were analyzed by multivariate logistic regression analysis.Results:The incidence of pulmonary infection in 308 renal transplant recipients was 17.86%at 1 year after operation.The serum MIP-1α and peripheral blood NLR in infected group were higher than those in uninfected group(P<0.05).The independent risk factors for postoperative pulmonary infection in renal transplant recipients were increased MIP-1α,increased NLR,increased PCT,and smoking history(P<0.05).Conclusion:The increase of serum MIP-1 α and peripheral blood NLR in renal transplant recipients will increase the risk of postoperative pulmonary infection.

Renal transplantationPulmonary infectionMacrophage inflammatory protein-1αNeutrophil to lymphocyte count ratio

黄莹、孙煦勇、廖吉祥、曹嵩、苏庆东

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广西医科大学第二附属医院移植研究所/广西器官移植临床医学研究中心/广西器官捐献与移植研究重点实验室 广西南宁 530000

肾移植 肺部感染 巨噬细胞炎性蛋白-1α 中性粒细胞与淋巴细胞计数比值

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(23)