单细胞与HDL比率与COPD死亡率之间的非线性关联:来自NHANES的证据
Tulei Tian1, Tianyu She2, Xiangkun Qu1
1Department of Respiratory and Critical Care Medicine, the Affiliated Bozhou Hospital of Anhui Medical University, Bozhou, Anhui, People's Republic of China.
International journal of chronic obstructive pulmonary disease
|December 18, 2025
概括
单细胞与高密度脂蛋白胆固醇 (MHR) 的比率是慢性阻塞性肺病 (COPD) 患者因任何原因死亡的重要风险标志物. 升高的MHR表明死亡风险增加,并观察到显著的值效应.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 生物标志物 生物标志物
背景情况:
- 慢性阻塞性肺病 (COPD) 是全球主要的死亡原因之一.
- 系统性炎症是COPD的关键病理特征.
- 单细胞与高密度脂蛋白胆固醇比率 (MHR) 在COPD死亡率中的预后价值尚未得到充分确立.
研究的目的:
- 调查MHR与COPD患者全因死亡风险之间的关联.
- 探索这种关联的性质,包括潜在的非线性和值效应.
主要方法:
- 在NHANES数据库 (1999-2018) 中分析了1768名COPD患者的数据.
- 使用考克斯回归,限制立方线 (RCS) 建模和时间依赖的ROC曲线.
- 进行了子组和灵敏度分析以验证结果.
主要成果:
- 在COPD患者中,MHR和全因死亡风险之间发现了显著的积极关联 (HR = 2.10).
- RCS分析揭示了非线性关系,MHR的值效应为0.29.
- 随着时间的推移,MHR表现出对死亡率的良好预测准确性 (AUC高达0.81).
结论:
- 升高的MHR是COPD全因死亡率的重要风险标志物.
- MHR的非线性关联和值效应表明它在对COPD患者的预后评估中具有潜在的有用性.
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