系统性炎症反应指数和系统性免疫-炎症指数的动态变化与动脉瘤下arachnoid 出血后的延迟大脑缺血有关
Ho Jun Yi1, Dong-Seong Shin2, Bum-Tae Kim2
1Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea; Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea; Department of Neurosurgery, Hangang Sacred Heart Hospital, Hallym University, Seoul, South Korea.
概括
系统性免疫-炎症指数 (SII) 和系统性炎症反应指数 (SIRI) 的炎症标志物的动态变化,预测了动脉瘤下关节出血 (aSAH) 后的延迟脑缺血症 (DCI). 这些标记显示了DCI发生的显著预测价值.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 炎症研究 炎症研究
背景情况:
- 延迟大脑缺血症 (DCI) 是动脉瘤下关节出血 (aSAH) 后的一个显著并发症,导致患者的治疗结果不佳.
- 炎症反应在aSAH后的DCI发展中起着至关重要的作用.
研究的目的:
- 调查炎症标志物的动态变化与aSAH患者中DCI的发生之间的关联.
- 评估系统性免疫炎症指数 (SII) 和系统性炎症反应指数 (SIRI) 对DCI的预测值.
主要方法:
- 分析了279名为aSAH治疗的患者队列,分为DCI (+) 和DCI (-) 组.
- 系统免疫炎症指数 (SII) 和系统炎症反应指数 (SIRI) 在四个时间点进行测量,并评估动态变化.
- 用接收器操作特征 (ROC) 曲线和考克斯回归分析来确定DCI预测因素.
主要成果:
- 在aSAH后5-7天DCI (+) 组中,SII和SIRI水平显著更高 (P<0.001).
- SII和SIRI显示了DCI发生的高预测精度 (AUC:分别为0.862和0.851).
- 5-7天升高的SII (HR: 1.74) 和5-7天升高的SIRI (HR: 1.62) 独立地与DCI发生有关.
结论:
- 在aSAH患者中,SII和SIRI的动态变化是DCI的有价值预测因素.
- 监测这些炎症指数可能有助于早期DCI风险评估和管理.
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