目的:分析中性粒细胞-淋巴细胞比值(NLR)及血小板-淋巴细胞比值(PLR)与系统性红斑狼疮(SLE)疾病活动度的相关性。方法:收集湖南省人民医院121例SLE患者与100例健康体检者的临床资料及实验室检查数据,根据SLEDAI评分将SLE患者分为活动组...目的:分析中性粒细胞-淋巴细胞比值(NLR)及血小板-淋巴细胞比值(PLR)与系统性红斑狼疮(SLE)疾病活动度的相关性。方法:收集湖南省人民医院121例SLE患者与100例健康体检者的临床资料及实验室检查数据,根据SLEDAI评分将SLE患者分为活动组与缓解组,分析NLR、PLR与SLE疾病活动度的相关性。结果: SLE患者NLR和 PLR分别为4.78(2.82~7.80)和197.56(137.27~285.52),对照组NLR和 PLR分别为1.75(1.51~2.11)和113.84(98.65~131.11);SLE患者NLR和 PLR较对照组显著升高,差异均有统计学意义( P <0.001);活动组的NLR和 PLR分别为5.99(3.49~10.47)和206.81(151.33~333.47),缓解组的NLR和 PLR分别为4.02(2.16~5.37)和182.09(115.00~247.14);活动组NLR、PLR与缓解组相比显著升高,差异均有统计学意义( P <0.05);SLEDAI评分与NLR、PLR呈正相关( r =0.372、0.232, P <0.05)。结论: NLR、PLR可作为SLE疾病活动度的评价指标。展开更多
Objective:Albumin-globulin ratio(AGR),prognostic nutritional index(PNI),and platelet to-lymphocyte ratio(PLR)have been validated as prognostic factors for gastric cancer(GC).However,significant gender differences exis...Objective:Albumin-globulin ratio(AGR),prognostic nutritional index(PNI),and platelet to-lymphocyte ratio(PLR)have been validated as prognostic factors for gastric cancer(GC).However,significant gender differences exist in albumin levels and inflammatory cell counts,and further research is required to understand how these differences influence GC prognosis.This study aims to investigate the prognostic impact of nutritional and inflammatory indicators on GC patients undergoing radical surgery,as well as the influence of gender on these indicators’prognostic value.Methods:The study included 596 patients with advanced GC hospitalized in the Department of Gastrointestinal Surgery,General Surgery,Xiangya Hospital of Central South University from January 2012 to December 2016.Receiver operating characteristic(ROC)analysis was performed to determine cutoff values for nutritional and inflammatory factors.Univariate analysis was used to identify factors significantly affecting survival in GC patients,while multivariate and Kaplan-Meier analyses determined independent prognostic factors for GC.Results:Multivariate analysis revealed that postsurgical tumor node metastasis(pTNM)stage[stage II:hazard ratio(HR)=3.284,P=0.012;stage III:HR:8.062,P<0.001],low preoperative AGR(HR=1.499,P=0.012),and postoperative PNI(HR=1.503,P=0.008)were risk factors for overall survival in male patients after radical GC surgery.For female patients,pN2-3(HR=3.185,P<0.001),total gastrectomy(HR=2.286,P=0.004),low preoperative PLR(HR=1.702,P=0.027),and postoperative PNI(HR=1.943,P=0.011)were identified as risk factors for overall survival.Conclusion:Postoperative PNI is an independent risk factor for all advanced GC patients.Preoperative PLR is an independent prognostic factor only for female patients,while preoperative AGR is an independent prognostic factor only for male patients.Further research is warranted to investigate the gender-specific differences in GC prognosis.展开更多
文摘目的:分析中性粒细胞-淋巴细胞比值(NLR)及血小板-淋巴细胞比值(PLR)与系统性红斑狼疮(SLE)疾病活动度的相关性。方法:收集湖南省人民医院121例SLE患者与100例健康体检者的临床资料及实验室检查数据,根据SLEDAI评分将SLE患者分为活动组与缓解组,分析NLR、PLR与SLE疾病活动度的相关性。结果: SLE患者NLR和 PLR分别为4.78(2.82~7.80)和197.56(137.27~285.52),对照组NLR和 PLR分别为1.75(1.51~2.11)和113.84(98.65~131.11);SLE患者NLR和 PLR较对照组显著升高,差异均有统计学意义( P <0.001);活动组的NLR和 PLR分别为5.99(3.49~10.47)和206.81(151.33~333.47),缓解组的NLR和 PLR分别为4.02(2.16~5.37)和182.09(115.00~247.14);活动组NLR、PLR与缓解组相比显著升高,差异均有统计学意义( P <0.05);SLEDAI评分与NLR、PLR呈正相关( r =0.372、0.232, P <0.05)。结论: NLR、PLR可作为SLE疾病活动度的评价指标。
基金supported by the National Natural Science Foundation of China(8197103463).
文摘Objective:Albumin-globulin ratio(AGR),prognostic nutritional index(PNI),and platelet to-lymphocyte ratio(PLR)have been validated as prognostic factors for gastric cancer(GC).However,significant gender differences exist in albumin levels and inflammatory cell counts,and further research is required to understand how these differences influence GC prognosis.This study aims to investigate the prognostic impact of nutritional and inflammatory indicators on GC patients undergoing radical surgery,as well as the influence of gender on these indicators’prognostic value.Methods:The study included 596 patients with advanced GC hospitalized in the Department of Gastrointestinal Surgery,General Surgery,Xiangya Hospital of Central South University from January 2012 to December 2016.Receiver operating characteristic(ROC)analysis was performed to determine cutoff values for nutritional and inflammatory factors.Univariate analysis was used to identify factors significantly affecting survival in GC patients,while multivariate and Kaplan-Meier analyses determined independent prognostic factors for GC.Results:Multivariate analysis revealed that postsurgical tumor node metastasis(pTNM)stage[stage II:hazard ratio(HR)=3.284,P=0.012;stage III:HR:8.062,P<0.001],low preoperative AGR(HR=1.499,P=0.012),and postoperative PNI(HR=1.503,P=0.008)were risk factors for overall survival in male patients after radical GC surgery.For female patients,pN2-3(HR=3.185,P<0.001),total gastrectomy(HR=2.286,P=0.004),low preoperative PLR(HR=1.702,P=0.027),and postoperative PNI(HR=1.943,P=0.011)were identified as risk factors for overall survival.Conclusion:Postoperative PNI is an independent risk factor for all advanced GC patients.Preoperative PLR is an independent prognostic factor only for female patients,while preoperative AGR is an independent prognostic factor only for male patients.Further research is warranted to investigate the gender-specific differences in GC prognosis.
