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作为糖尿病病的独立风险因素的系统性免疫炎症指数:一个回顾性,单中心研究
Xiaohong Zhang1,2,3, Yuan Fang1,2,3, Mengjie Weng1,2,3
1Department of Nephrology, Blood Purification Research Center, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China.
PeerJ
|December 16, 2024
概括
系统性免疫炎症指数 (SII) 是一种与糖尿病病 (DN) 相关的新指标. 较高的SII水平与DN的风险增加有关,这表明其作为诊断生物标志物的潜力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 免疫学 免疫学 免疫学
- 生物标志物发现发现
背景情况:
- 糖尿病病 (DN) 是糖尿病的一个主要并发症.
- 确定可靠的DN生物标志物对于早期诊断和管理至关重要.
研究的目的:
- 调查系统性免疫炎症指数 (SII) 和糖尿病病 (DN) 之间的关联.
- 评估SII作为DN的潜在诊断生物标志物.
主要方法:
- 使用中性粒细胞计数 × 血小板计数/淋巴细胞计数计算SII.
- 用户接收器操作特征 (ROC) 曲线分析以评估诊断功率.
- 利用单变量和多变量逻辑回归和受限制的立方支线模型来分析SII和DN之间的关联.
主要成果:
- SII与尿白蛋白与肌素比率和血清肌素有积极的相关性,与eGFR和血清白蛋白有负相关性.
- ROC曲线分析显示曲线下的面积 (AUC) 为0.761 (P < 0.001).
- 多变量分析确定SII (OR=1.004,P=0.002) 作为DN的独立风险因素,在624*10^9/L以上观察到非线性关联.
结论:
- 系统性免疫炎症指数 (SII) 是一种与糖尿病病 (DN) 独立相关的新生物标志物.
- 需要进一步的大规模前性研究来验证SII作为DN的可靠诊断或预后工具.
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