NLR、NC3R评估系统性红斑狼疮疾病活动度分析
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南昌大学第二附属医院检验科 江西省检验医学重点实验室,南昌大学第二附属医院检验科,南昌大学第二附属医院检验科,南昌大学第二附属医院检验科,南昌大学第二附属医院检验科,南昌大学第二附属医院风湿免疫科 南昌,南昌大学第二附属医院风湿免疫科 南昌

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国家自然科学基金资助项目(81760382);江西省自然科学基金资助项目(2017BAB205076);江西省教育厅科学技术研究项目(160157)


NLR and NC3R were used to assess the activity of SLE
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Department of Laboratory Medicine, The Second Affiliated Hospital of Nanchang University; Jiangxi Province Key Laboratory of Laboratory Medicine,,,,Department of Laboratory Medicine, The Second Affiliated Hospital of Nanchang University; Jiangxi Province Key Laboratory of Laboratory Medicine,,

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    目的:系统性红斑狼疮(SLE)易反复发作,评估疾病活动度对治疗具有重要的意义,本文研究中性粒细胞与淋巴细胞比值(NLR)、中性粒细胞与C3补体与的比值(NC3R)与活动性SLE的相关性。方法:纳入189例SLE患者,91例RA患者,79例健康体检人群;测定实验室指标,比较NLR、NC3R及实验室指标的差异,并评价其与SLE活动度的相关性。结果:3组间NC3R、NLR具有差异性(P<0.01)。SLE活动度评分与NC3R(R=0.449 P<0.01)和NLR(R=0.267 P<0.01)具有相关性。当NC3R的cut-off值为5.85,诊断活动度SLE的灵敏度为0.529、特异性0.937;NLR的cut-off值为3.14,灵敏度为0.423,特异性为0.873。结论:NC3R、NLR可以作为评估SLE疾病活动度的辅助指标,并指导SLE的治疗。

    Abstract:

    Objective: systemic lupus erythematosus (SLE) is easy to break out repeatedly, it is very importance to treatment that the assessment of disease activity. This paper studies neutrophils and lymphocytes ratio (NLR) and the ratio of neutrophils and C3 complement (NC3R), and the correlation of active SLE. Method: 189 subjects with SLE, 91 subjects with RA and 71 healthy people were included. To determine the laboratory indicators and compare the differences of NLR and NC3R among three groups. Then evaluated NLR, NC3R correlation with SLE activity. Result: The level of NC3R and NLR within the three groups were different(P<0.01). SLEDAI scores positively correlated with NC3R (r=0.449, P<0.01) and NLR (r=0.267, P<0.01). Receiver operating characteristic (ROC) curve analysis showed that the cut-off value of NC3R to predict SLE with high disease activity was 5.85, with 52.9% sensitivity and 93.7% specificity, while that of NLR was 3.14, with 42.3% sensitivity and 87.3% specificity. Conclusion: NC3R and NLR may be used as an auxiliary indicator to assess the activity of SLE and guide the treatment.

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余建林,吴洋,曾婷婷,田永建,谭立明,段新旺,余乐. NLR、NC3R评估系统性红斑狼疮疾病活动度分析[J].临床检验杂志,2018,(7):490-492

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  • 收稿日期:2018-02-02
  • 最后修改日期:2018-07-31
  • 录用日期:2018-07-09
  • 在线发布日期: 2018-09-17
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