首页|血常规NLR、MLR、PLR与冠心病患者冠状动脉狭窄严重程度的关系研究

血常规NLR、MLR、PLR与冠心病患者冠状动脉狭窄严重程度的关系研究

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目的 分析血常规中性粒细胞与淋巴细胞比值(NLR)、单核细胞与淋巴细胞比值(MLR)、血小板与淋巴细胞比值(PLR)与冠心病患者冠状动脉狭窄严重程度的关系。方法 选取408例冠心病患者作为观察组,另选取同期408例健康体检者作为对照组。检测两组血常规,计算并比较两组血常规NLR、MLR、PLR水平。观察组患者均行冠状动脉造影检查,根据冠状动脉狭窄严重程度(Gensini评分)分为轻度病变组(156例)、中度病变组(123例)、重度病变组(129例),比较观察组各亚组的血常规NLR、MLR、PLR水平,分析冠心病患者血常规NLR、MLR、PLR水平与冠状动脉狭窄严重程度的关系。结果 观察组血常规NLR、MLR、PLR水平分别为(4。64±1。43)、(0。39±0。12)、(157。73±42。58),高于对照组的(2。38±0。71)、(0。28±0。09)、(124。25±37。69),差异具有统计学意义(P<0。05)。观察组各亚组的血常规NLR、MLR、PLR水平比较差异具有统计学意义(P<0。05)。重度病变组血常规NLR、MLR、PLR水平均高于中度病变组、轻度病变组,中度病变组均高于轻度病变组,差异有统计学意义(P<0。05)。相关分析结果显示:冠心病患者血常规NLR、MLR、PLR水平与Gensini评分均呈正相关关系(r=0。687、0。622、0。416,P<0。001)。结论 冠心病患者血常规NLR、MLR、PLR水平均比健康者高,且冠心病患者血常规NLR、MLR、PLR与冠状动脉狭窄严重程度呈正相关关系。
Study on the correlation between blood routine NLR,MLR,PLR and severity of coronary artery stenosis in patients with coronary heart disease
Objective To analyze the correlation between blood routine neutrophil-to-lymphocyte ratio (NLR),monocyte-to-lymphocyte ratio (MLR),platelet-to-lymphocyte ratio (PLR) and severity of coronary artery stenosis in patients with coronary heart disease. Methods 408 patients with coronary heart disease were selected as the observation group,and another 408 healthy subjects who underwent health examination during the same period were selected as the control group. The blood routine of the two groups was detected,and the levels of NLR,MLR and PLR were calculated and compared between the two groups. All patients in the observation group underwent coronary angiography and were divided into mild lesion group (156 cases),moderate lesion group (123 cases) and severe lesion group (129 cases) according to the severity of coronary artery stenosis (Gensini score). The levels of NLR,MLR and PLR were compared in subgroups of the observation group,and the correlation of NLR,MLR and PLR with the severity of coronary artery stenosis in patients with coronary heart disease was analyzed. Results The levels of NLR,MLR and PLR were (4.64±1.43),(0.39±0.12) and (157.73±42.58) in the observation group,which were higher than (2.38±0.71),(0.28±0.09) and (124.25±37.69) in the control group,and the difference was statistically significant (P<0.05). There were significant differences in levels of NLR,MLR and PLR among all subgroups in the observation group (P<0.05). The levels NLR,MLR and PLR in the severe lesion group were higher than those in the moderate lesion group and the mild lesion group,and the moderate lesion group were higher than the mild lesion group. The difference was statistically significant (P<0.05). The difference was statistically significant (P<0.05). The results of correlation analysis showed that the levels of NLR,MLR and PLR were positively correlated with the Gensini score in patients with coronary heart disease (r=0.687,0.622,0.416;P<0.001). Conclusion The levels of NLR,MLR,and PLR in patients with coronary heart disease were higher than those in healthy individuals,and the levels of these indicators in patients with coronary heart disease are positively correlated with the severity of coronary artery stenosis.

Neutrophil-to-lymphocyte ratioMonocyte-to-lymphocyte ratioPlatelet-to-lymphocyte ratioCoronary heart diseaseSeverity of coronary artery stenosis

张建华

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361102 厦门莲花医院

中性粒细胞与淋巴细胞比值 单核细胞与淋巴细胞比值 血小板与淋巴细胞比值 冠心病 冠状动脉狭窄严重程度

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(23)