首页|PD患者全身免疫炎症指数和免疫球蛋白水平与运动并发症的关联性分析

PD患者全身免疫炎症指数和免疫球蛋白水平与运动并发症的关联性分析

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目的 研究帕金森(Parkinson's disease,PD)患者全身免疫炎症指数和免疫球蛋白水平与运动并发症的关联性.方法 以2022年1月一2023年6月新疆医科大学第二附属医院神经内科确诊PD住院患者218例为研究对象,根据患者临床症状是否发生症状波动和异动症分为有运动并发症组和无运动并发症组.收集两组患者一般资料,采用SYSMEX XN-3000全自动分析仪检测两组血常规并计算中性粒细胞计数/淋巴细胞比值(Neutrophil-lymphocyte ratio,NLR)、全身免疫炎症指数(Systemic immune-inflammation index,SII),采用美国贝克曼尔特特种蛋白分析仪检测两组A-白蛋白及α1、α2、β、γ免疫球蛋白.结果 与无运动并发症组比较,有运动并发症组NLR、SII和7-球蛋白升高,A-白蛋白降低,差异具有统计学意义(P<0.05).Logistic回归分析结果显示SII、A-白蛋白、7-球蛋白、H-Y分期是PD运动并发症的危险因素(P<0.05).ROC工作曲线分析结果显示SII、A-白蛋白、γ-球蛋白和H-Y分期对预测PD运动并发症的AUC值分别为 0.752、0.643、0.704、0.746,95%CI 分别为 0.683~0.822、0.549~0.737、0.619~0.788、0.670~0.823.联合检测的AUC值为0.858,95%CI为0.796~0.920.结论 高水平的SII及γ-球蛋白、H-Y分期和较低的A-白蛋白可增加PD发生运动并发症的风险.
Correlation analysis of systemic immune inflammatory index and immunoglobulin levels with exercise complications in Parkinson's disease(PD)patients
Objective To investigate the association of systemic immune inflammatory index and immuno-globulin levels with exercise complications in Parkinson's disease(PD)patients.Methods 218 PD patients diagnosed in the hospital from January 2022 to June 2023 were selected as study subjects.The patients were divided into the group with motor complications and the group without motor complications based on whether their clinical symptoms fluctuated and whether they had dyskinesia.The general data of the 2 groups were collected.The neutrophil lymphocyte ratio(NLR)and systemic immune-inflammation index(SII)were measured by SYSMEX XN-3000 automatic analyzer.The A-albumin and α1,α2,β,γ immuno-globulins in 2 groups were detected by Beckmann's special protein analyzer.Results NLR,SII and γ-globulin were higher and A-albumin was lower in the group with exercise complications than in the group without exercise complications(P<0.05).Logistic regression analysis showed that SII,A-albumin,γ-globulin and H-Y staging were the risk factors of PD motor complications(P<0.05).ROC showed that AUC of SII,A-albumin,γ-globulin and H-Y staging were 0.752,0.643,0.704,0.746 and 95%CI were 0.683-0.822,0.549-0.737,0.619-0.788 and 0.670-0.823.The AUC of combined detection was 0.858,with a 95%CI of 0.796 to 0.920.Conclusion High levels of SII,γ-globulin,H-Y staging and low A-albumin increase the risk of motor complications in PD.

Parkinson's disease(PD)neutrophil/lymphocyte ratiosystemic immune inflammatory indexγ-immunoglobulinmotor complications

冯婷婷、夏欢、王子豪、张明洋、杨新玲

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新疆医科大学第二附属医院神经内科

新疆神经系统疾病研究重点实验室

新疆神经系统疾病临床研究中心,乌鲁木齐 830063

新疆医科大学,乌鲁木齐 830017

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帕金森 中性粒细胞/淋巴细胞比值 全身免疫炎症指数 γ免疫球蛋白 运动并发症

国家自然科学基金地区科学基金项目新疆维吾尔自治区重点实验室开放课题项目

82160232XJDX1711

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(2)
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