黄 莹,孙煦勇,廖吉祥,曹 嵩,苏庆东.血清巨噬细胞炎性蛋白-1α、中性粒细胞与淋巴细胞计数比值
与肾移植受者术后肺部感染风险的关系分析[J].,2024,(23):4461-4463 |
血清巨噬细胞炎性蛋白-1α、中性粒细胞与淋巴细胞计数比值
与肾移植受者术后肺部感染风险的关系分析 |
Analysis of the Relationship between Serum Macrophage Inflammatory Protein-1α, Neutrophil to Lymphocyte Count Ratio and the Risk of Pulmonary Infection after Renal Transplantation |
投稿时间:2024-06-05 修订日期:2024-06-29 |
DOI:10.13241/j.cnki.pmb.2024.23.014 |
中文关键词: 肾移植 肺部感染 巨噬细胞炎性蛋白-1?琢 中性粒细胞与淋巴细胞计数比值 |
英文关键词: Renal transplantation Pulmonary infection Macrophage inflammatory protein-1?琢 Neutrophil to lymphocyte count ratio |
基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z20200653) |
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中文摘要: |
摘要 目的:分析血清巨噬细胞炎性蛋白-1α(MIP-1α)、外周血中性粒细胞与淋巴细胞计数比值(NLR)与肾移植受者术后肺部感染风险的关系。方法:选择308例接受肾移植的患者,根据患者术后是否发生肺部感染分为未感染组(n=253)、感染组(n=55),对比两组血清MIP-1α、外周血NLR。多因素logistic回归分析影响术后肺部感染发生的危险因素。结果:308例肾移植受者术后1年肺部感染发生率为17.86%。感染组血清MIP-1α、外周血NLR比未感染组高(P<0.05)。肾移植受者术后肺部感染的独立危险因素为MIP-1α升高、NLR升高、PCT升高、有吸烟史(P<0.05)。结论:肾移植受者血清MIP-1α及外周血NLR上升会增加术后肺部感染发生风险。 |
英文摘要: |
ABSTRACT Objective: To analyze the relationship between serum macrophage inflammatory protein-1α (MIP-1α), peripheral blood neutrophil to lymphocyte count ratio (NLR) and the risk of pulmonary infection after renal transplantation. Methods: 308 patients who underwent renal transplantation were selected, which were divided into uninfected group (n=253) and infected group (n=55) according to whether pulmonary infection occurred after operation. Serum MIP-1α and peripheral blood NLR were compared in two groups. The risk factors affecting the occurrence of postoperative pulmonary infection were analyzed by multivariate logistic regression analysis. ABSTRACT: The incidence of pulmonary infection in 308 renal transplant recipients was 17.86% at 1 year after operation. The serum MIP-1α and peripheral blood NLR in infected group were higher than those in uninfected group (P<0.05). The independent risk factors for postoperative pulmonary infection in renal transplant recipients were increased MIP-1α, increased NLR, increased PCT, and smoking history (P<0.05). Conclusion: The increase of serum MIP-1α and peripheral blood NLR in renal transplant recipients will increase the risk of postoperative pulmonary infection. |
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