王云丹, 蒋卫杰. hs-CRP、NLR、PLR与维持性血液透析患者心脏瓣膜钙化的相关性[J]. 临床肾脏病杂志, 2020, 20(2): 109-113. DOI: 10.3969/j.issn.1671-2390.2020.02.004
    引用本文: 王云丹, 蒋卫杰. hs-CRP、NLR、PLR与维持性血液透析患者心脏瓣膜钙化的相关性[J]. 临床肾脏病杂志, 2020, 20(2): 109-113. DOI: 10.3969/j.issn.1671-2390.2020.02.004
    WANG Yun-dan, JIANG Wei-jie. Correlation of hs-CRP, NLR and PLR tocardiac valve calcification in maintenance hemodialysis patients[J]. Journal of Clinical Nephrology, 2020, 20(2): 109-113. DOI: 10.3969/j.issn.1671-2390.2020.02.004
    Citation: WANG Yun-dan, JIANG Wei-jie. Correlation of hs-CRP, NLR and PLR tocardiac valve calcification in maintenance hemodialysis patients[J]. Journal of Clinical Nephrology, 2020, 20(2): 109-113. DOI: 10.3969/j.issn.1671-2390.2020.02.004

    hs-CRP、NLR、PLR与维持性血液透析患者心脏瓣膜钙化的相关性

    Correlation of hs-CRP, NLR and PLR tocardiac valve calcification in maintenance hemodialysis patients

    • 摘要: 目的 探讨维持性血液透析(maintenance hemodialysis,MHD)患者超敏C-反应蛋白(high sensitivity C-creative protein,hs-CRP)、中性粒细胞/淋巴细胞比值(neutrophil/lymphocyte ratio,NLR)、血小板淋巴细胞比值(platelet lymphocyte ratio,PLR)水平,分析其与心脏瓣膜钙化相关性,为进一步提高心脏瓣膜钙化临床预测和诊断提供有价值信息。方法 选择2016年2月至2019年2月于上海市静安区市北医院肾内科行MHD患者80例,根据是否发生心脏瓣膜钙化分为两组,研究组(n=51)为发生心脏瓣膜钙化患者,对照组(n=29)为未发生心脏瓣膜钙化患者。比较两组一般资料、一般生化指标及hs-CRP、NLR、PLR水平;将研究组患者根据钙化程度分为重度钙化组(n=18)和中度钙化组(n=20)、轻度钙化组(n=13),比较两组hs-CRP、NLR、PLR水平,并分析hs-CRP、NLR、PLR与钙化严重程度相关性;多因素分析心脏瓣膜钙化发病危险因素。结果 研究组hs-CRP、NLR、PLR高于对照组(P<0.05);重度钙化组hs-CRP、NLR、PLR高于中度钙化组高于轻度钙化组(P<0.05),且hs-CRP、NLR、PLR与钙化程度呈显著正相关关系(P<0.05);hs-CRP、NLR、PLR是心脏瓣膜钙化发病危险因素(P<0.05)。结论 hs-CRP、NLR、PLR值与心脏瓣膜钙化严重程度密切相关,早期关注其变化可降低钙化发生率,提高患者生存质量。

       

      Abstract: Objective To investigate the levels of hypersensitivity C-reaction protein (hs-CRP), neutrophil/lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in patients with maintenance hemodialysis (MHD), and to analyze their correlation with cardiac valve calcification, so as to provide valuable information for clinical prediction and diagnosis of cardiac valve calcification. Methods Clinical data of 80 MHD patients undergoing maintenance hemodialysis in our hospital from February 2016 to February 2019 were selected. Patients were divided into two groups according to the presence or absence of the cardiac valve calcification, study group (n=51) and control group (n=29). The study group was further divided into subgroups according to the calcification degree, severe calcification group (n=18), moderate calcification group (n=20) and mild calcification group (n=13). The general data, general biochemical indexes and hs-CRP, NLR and PLR levels between the two groups were compared. The correlation of hs-CRP, NLR and PLR with the severity of calcification was analyzed. The risk factors of cardiac valve calcification were analyzed by multivariate analysis. Results Hs-CRP, NLR and PLR in the study group were higher than those in the control group (P<0.05); The levels of hs-CRP, NLR and PLR were highestin the severe calcification subgroup, followed by the moderate calcification group, and mild calcification group, with statistic difference (P<0.05). Levels of hs-CRP, NLR and PLR were positively correlated with the degree of calcification (P<0.05), and are risk factors for cardiac valve calcification (P<0.05). Conclusions The hs-CRP, NLR and PLR are closely related to the severity of cardiac valve calcification, and early monitoring of the three indices in the course of treatment can reduce the incidence of calcification and improve the quality of life of patients.

       

    /

    返回文章
    返回