中性粒细胞与淋巴细胞的比率与2型糖尿病患者的功能有关
Jin-Li Gao1, Jue Shen2, Li-Ping Yang2
1Department of Prevention and Health Care, Community Health Service Center of Miaohang Town, Shanghai 200443, China.
World journal of clinical cases
|May 20, 2024
概括
中性粒细胞与淋巴细胞比率 (NLR) 的升高与2型糖尿病 (T2DM) 患者的慢性病 (CKD) 有关. 这一发现表明,NLR可能作为一种有价值的生物标志物,用于糖尿病病的早期检测和管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
背景情况:
- 2型糖尿病 (T2DM) 显著增加慢性病 (CKD) 的风险.
- 目前还没有可靠的标志物用于早期检测T2DM患者的CKD.
- 中性细胞与淋巴细胞比率 (NLR) 已成为CKD的潜在指标,但其在T2DM中的作用需要进一步研究.
研究的目的:
- 检查T2DM个体中NLR和功能之间的关联.
- 评估NLR作为T2DM患者损伤的预测标记.
主要方法:
- 分析了1040名患有T2DM的老年人.
- 用中性粒细胞和淋巴细胞计数来计算NLR.
- CKD的定义是估计的膜过率≤60mL/min/1.73m2.
- 多变量逻辑回归分析了NLR和CKD之间的联系.
主要成果:
- 在NLR组之间观察到临床和生化参数的显著差异.
- 较高的NLR与T2DM患者中CKD患病率增加相关.
- 在T2DM患者中,高NLR独立预测CKD (OR=1.41,95%CI:1.18-1.68).
结论:
- 升高的NLR与T2DM中CKD的更高患病率有关.
- NLR可以作为检测和评估糖尿病病的潜在生物标志物.
- 这项研究强调了NLR在治疗T2DM相关脏并发症方面的临床实用性.
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