现代泌尿生殖肿瘤杂志2024,Vol.16Issue(2) :89-93,99.DOI:10.3870/j.issn.1674-4624.2024.02.006

中性粒细胞与淋巴细胞比值诊断膀胱过度活动症的临床研究

Diagnostic value of neutrophil-to-lymphocyte ratio for overactive bladder

陈皓卿 柯涵炜 许克新
现代泌尿生殖肿瘤杂志2024,Vol.16Issue(2) :89-93,99.DOI:10.3870/j.issn.1674-4624.2024.02.006

中性粒细胞与淋巴细胞比值诊断膀胱过度活动症的临床研究

Diagnostic value of neutrophil-to-lymphocyte ratio for overactive bladder

陈皓卿 1柯涵炜 2许克新2
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作者信息

  • 1. 100038 北京,首都医科大学附属复兴医院
  • 2. 北京大学人民医院泌尿外科
  • 折叠

摘要

目的 探讨血清中性粒细胞与淋巴细胞比值(NLR)与膀胱过度活动症(OAB)之间的关系,并研究NLR在OAB与健康个体、不同OAB分类及OAB不同症状严重程度之间的差别.方法 分析在北京大学人民医院被诊断为OAB的56例成年女性.对其中25例OAB患者进行评定量表调查,将OAB分为干性OAB和湿性OAB.此外,随机选择167名健康女性队列作为对照组,计算NLR.结果 分析结果显示OAB患者NLR显著高于健康个体[(2.46±1.24)vs(1.78±0.65),P<0.001].干性和湿性OAB患者NLR不同,但差异无统计学意义(P=0.092).此外,Spearman相关性分析结果显示NLR与OAB症状量表得分呈显著正相关(P=0.019).受试者工作特征分析显示,NLR区分OAB患者与正常组的曲线下面积为0.733,区分干性与湿性OAB的曲线下面积为0.701.临床决策曲线分析和临床影响曲线分析显示NLR可带来良好的临床收益.结论 血清NLR可以作为诊断OAB患者及区分症状程度的非侵入性诊断标志物.

Abstract

Objective To investigate the relationship between serum neutrophil-to-lymphocyte ratio(NLR)and overactive bladder(OAB),as well as to explore whether NLR can be used as a bio-marker to distinguish OAB from healthy individuals.We postulate that elevated NLR levels are intri-cately associated with the classification and severity of OAB.Methods The medical records of 56 adult women diagnosed with OAB at Peking University People's Hospital were analyzed as a cross-sectional study.In addition,data were obtained from a randomly selected cohort of 167 healthy women,and NLR was determined by calculating the ratio of neutrophils to lymphocytes.Additional-ly,symptom assessment questionnaires were collected from OAB patients.Results Baseline anal-ysis showed the NLR was significantly higher in OAB patients than in healthy individuals[(2.46±1.24)vs(1.78±0.65),P<0.001].Within the OAB group,OAB-wet bladder demonstrated nota-bly divergent NLR levels in comparison to OAB-dry,but without statistically significance(P=0.092).In addition,we observed a significant positive correlation between NLR and Overactive score system(OABSS)scores(P=0.019).The receiver operating characteristic(ROC)analysis yielded an area under the curve(AUC)of 0.733 for NLR in distinguishing OAB from the normal group,and an AUC of 0.701 in distinguishing OAB-wet and OAB-dry.Conclusions This study shows that serum NLR can be used as a non-invasive diagnostic marker in the diagnosis of OAB pa-tients and symptom assessment.

关键词

诊断标志物/膀胱过度活动症/中性粒细胞与淋巴细胞比值

Key words

Diagnostic markers/Overactive bladder/Neutrophil-to-lymphocyte ratio

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出版年

2024
现代泌尿生殖肿瘤杂志
华中科技大学

现代泌尿生殖肿瘤杂志

CSTPCD
影响因子:0.403
ISSN:1674-4624
参考文献量20
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