心血管康复医学杂志2024,Vol.33Issue(4) :471-475.DOI:10.3969/j.issn.1008-0074.2024.04.19

中性粒细胞与HDL-C比值和单核细胞与HDL-C比值对冠状动脉狭窄程度的预测价值

Predictive value of neutrophil-to-HDL-C ratio and monocyte-to-HDL-C ratio for degree of coronary ste-nosis

靳佳丽 马静 梁甜 王玲
心血管康复医学杂志2024,Vol.33Issue(4) :471-475.DOI:10.3969/j.issn.1008-0074.2024.04.19

中性粒细胞与HDL-C比值和单核细胞与HDL-C比值对冠状动脉狭窄程度的预测价值

Predictive value of neutrophil-to-HDL-C ratio and monocyte-to-HDL-C ratio for degree of coronary ste-nosis

靳佳丽 1马静 1梁甜 1王玲2
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作者信息

  • 1. 哈尔滨医科大学附属第一医院心内科,黑龙江哈尔滨 150001
  • 2. 哈尔滨医科大学附属第一医院肝脏微创外科,黑龙江哈尔滨 150001
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摘要

目的:分析中性粒细胞与高密度脂蛋白胆固醇比值(NHR)和单核细胞与高密度脂蛋白胆固醇比值(MHR)对冠状动脉狭窄程度的预测价值.方法:回顾性分析2021年10月至2022年4月于本院心内科住院行冠脉造影的患者273例.根据冠脉造影结果分为冠脉正常组89例,轻中度病变组(0<Gensini积分≤40分)97例、重度病变组(Gensini积分>40分)87例.比较三组患者的NHR和MHR.采用ROC曲线分析NHR和MHR对冠脉狭窄程度的预测价值.结果:与冠脉正常组相比,轻中度病变组和重度病变组的MHR[0.35(0.27,0.43)比 0.49(0.34,0.64)比 0.47(0.35,0.63)]、NHR[3.63(3.01,4.76)比 4.91(3.77,6.52)比 5.86(4.65,7.98)]均显著增加(P均<0.001);且重度病变组NHR值显著高于轻中度病变组(P=0.022).ROC曲线分析提示,NHR预测轻中度和重度病变的曲线下面积(AUC)分别为0.723(95%CI:0.651~0.795)、0.820(95%CI:0.757~0.882);MHR 预测轻中度和重度病变的 AUC 分别为 0.689(95%CI:0.612~0.766)、0.706(95%CI:.0.628~0.882).结论:NHR、MHR对冠脉动脉狭窄严重程度有较强的预测价值,并随着狭窄程度越严重,其预测价值越大.

Abstract

Objective:To analyze the predictive value of neutrophil-to-high density lipoprotein cholesterol ratio(NHR)and monocyte-to-high density lipoprotein cholesterol ratio(MHR)for degree of coronary stenosis.Meth-ods:A retrospective analysis was performed on 273 patients who underwent coronary angiography(CAG)and ad-mitted in the Department of Cardiology of our hospital from October 2021 to April 2022.According to CAG results,they were divided into normal coronary group(n=89),mild-moderate disease group(n=97,0<Gensini score≤40 points)and severe disease group(n=87,Gensini score>40 points).NHR and MHR were compared among three groups.ROC curve was used to analyze predictive value of NHR and MHR for degree of coronary stenosis.Results:Compared with normal coronary group,there were significant rise in MHR[0.35(0.27,0.43)vs.0.49(0.34,0.64)vs.0.47(0.35,0.63)]and NHR[3.63(3.01,4.76)vs.4.91(3.77,6.52)vs.5.86(4.65,7.98)]in mild-moderate disease group and severe disease group(P<0.001 all),and NHR in severe disease group was signif-icantly higher than that of mild-moderate disease group(P=0.022).ROC curve indicated that area under the curve(AUC)of NHR predicting mild-moderate disease and severe disease was 0.723(95%CI:0.651~0.795)and 0.820(95%CI:0.757~0.882)respectively;and AUC of MHR predicting mild-moderate disease and severe disease was 0.689(95%CI:0.612~0.766)and 0.706(95%CI:.0.628~0.882)respectively.Conclusion:NHR and MHR have strong predictive value for the severity of coronary artery stenosis,and the predictive value increases as the stenotic degree aggravates.

关键词

冠状动脉狭窄/中性白细胞/单核细胞/脂蛋白类,HDL

Key words

Coronary stenosis/Neutrophils/Monocytes/Lipoproteins,HDL

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出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
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