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综合脂质-炎症指数和死亡风险在NHANES 2007-2016年
Xinyue Zhao1, Nan Zhang2, Tao Yan1
1Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China.
Medicine
|December 16, 2025
概括
较高的血动脉生成指数 (AIP),全身免疫-炎症指数 (SII),单细胞与高密度脂蛋白胆固醇比率 (MHR) 和中性粒细胞与高密度脂蛋白胆固醇比率 (NHR) 预测心血管疾病和全因死亡风险.
科学领域:
- 心血管医学 心血管医学
- 生物标志物 生物标志物
- 公共卫生 公共卫生
背景情况:
- 心血管疾病 (CVD) 仍然是全球主要的死亡原因.
- 需要新的生物标志物来改善心血管疾病风险分层.
- 炎症和脂质相关指数是心血管疾病风险的潜在指标.
研究的目的:
- 调查血动脉质指数 (AIP),全身免疫炎症指数 (SII),单细胞与高密度脂蛋白胆固醇比率 (MHR) 和中性粒细胞与高密度脂蛋白胆固醇比率 (NHR) 与心血管疾病死亡率的关联.
- 评估这些生物标志物与全因死亡率之间的关系.
- 评估这些指数作为新型心血管疾病风险分层工具的潜力.
主要方法:
- 利用了2007-2016年国家健康和营养检查调查 (NHANES) 的数据.
- 采用Cox的比例危险模型来分析11,188名参与者的死亡结果.
- 调整了包括年龄,性别,种族,吸烟和酒精消费在内的共同变量.
主要成果:
- 高水平的AIP,SII,MHR和NHR与心血管疾病死亡率的风险增加显著相关.
- 这些生物标志物也显示出与全因死亡率的显著关联.
- 经过多种混因素的调整后,观察到的关联仍然很强.
结论:
- AIP,SII,MHR和NHR被确定为心血管和全因死亡的重要风险因素.
- 这些指数显示出作为新生物标志物的潜力,用于增强心血管疾病的临床风险分层.
- 需要进一步的研究来验证它们在不同人群中的临床实用性.
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