狼性炎患者白细胞计数和功能之间的关系:对中国成年人的回顾性研究
Jianyu Chen1,2, Rong Cao1,2, Jianying Guo1,2
1Department of Nephrology, the First Affiliated Hospital of Shenzhen University, Shenzhen, China.
The Journal of international medical research
|December 24, 2024
概括
较高的白细胞计数与狼性炎患者的功能下降有关. 这表明白细胞计数可能是疾病进展和预后的生物标志物.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 狼性炎 (LN) 是系统性红斑狼的一个严重表现.
- 了解影响功能下降的因素对于患者管理至关重要.
研究的目的:
- 在被诊断为狼性炎的患者中调查白细胞计数和功能之间的关联.
- 为了确定白细胞计数是否可以作为LN进展的预测生物标志物.
主要方法:
- 一项涉及100名狼性炎患者的回顾性横截面研究.
- 根据白细胞计数 (低,中,高) 将患者分为三层.
- 采用多重线性回归分析来评估白细胞计数与估计的淋巴细胞过率 (eGFR) 之间的关系.
主要成果:
- 在白细胞计数和功能之间发现了一种独立的线性关系.
- 每增加1 × 109/L白细胞计数与eGFR下降2.85毫升/分钟有关,经过对多种临床和病理因素进行调整后.
- 在控制年龄,白蛋白,蛋白尿,补充剂水平,血红蛋白,血压和疾病活性后,这种关联仍然显著.
结论:
- 白细胞计数显示,在狼性炎中,与功能存在独立的线性关联.
- 增加的白细胞计数与功能下降相关,突出显示白细胞透在LN病变发生中的作用.
- 白细胞计数可以作为监测LN进展和预测患者预后的宝贵生物标志物.
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