德里蒂斯比率是否可以作为预测较高的国际正常化比率值的标记?
Osman Onur Kaplan1, Mesut Engin1, Seray Yazgan2
1Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Bursa, Türkiye.
Biomarkers in medicine
|November 6, 2025
概括
德瑞蒂斯比率是肝脏健康的指标,可以预测在服用华法林的患者中,国际正常化比率 (INR) 水平升高. 较高的比率表明INR增加的可能性更大,这对于监测抗凝剂治疗至关重要.
科学领域:
- 肝病学和临床生物化学
- 药理学和治疗学 药理学和治疗学
背景情况:
- 华法林治疗需要对国际正常化比率 (INR) 进行仔细监测,以确保疗效和预防并发症.
- 德里蒂斯比率,计算为阿斯巴酸氨基转移酶 (AST) 与氨基转移酶 (ALT) 水平的比率,是肝损伤的标志物.
- 研究用于预测INR波动的新生物标志物可以改善患者管理.
研究的目的:
- 确定De Ritis比率在预测华法林治疗患者INR值升高的预后意义.
- 为了探索肝酶比率与抗凝血控制之间的关联.
主要方法:
- 在接受华法林治疗的357名患者中进行了一项回顾性研究.
- 根据患者的INR值,患者被分为三个组:<2,2-3.5和>3.5.5.
- 在INR组中进行了统计分析,以比较人口统计和实验室数据,包括De Ritis比率.
主要成果:
- 在INR组中观察到De Ritis比率的显著差异 (p < 0.001).
- 在INR值高于3.5的患者中,De Ritis比率的中位数明显高于INR值较低的患者.
- 淋巴细胞计数也显示了群体之间的显著差异.
结论:
- 在接受华法林治疗的患者中,高的De Ritis比率与高的INR值有显著的相关性.
- 德里蒂斯比率可以作为一个有用的预后指标来预测更高的INR水平,有助于华法林治疗的管理.
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