UNASSIGNED:本研究探讨了冠心病(CHD)患者单核细胞与淋巴细胞比值(MLR)以及其他白细胞来源的比值与颈动脉斑块之间的关系。
UNASSIGNED:总共选择了12,093名CHD患者作为研究参与者。本研究中评估的白细胞来源比率包括中性粒细胞与淋巴细胞比率(NLR),派生NLR(dNLR),MLR,血小板与淋巴细胞比率(PLR),白细胞与平均血小板体积比(WMR),淋巴细胞×中性粒细胞/104比值(MNM),全身免疫炎症指数(SII),全身炎症反应指数(SIRI)。白细胞来源的比率根据四分之一分为四组。进行Logistic回归分析以评估白细胞来源的比率与发病率之间的关系。number,冠心病患者颈动脉斑块的回声特征。在调整混杂因素后进行进一步分析。
未经评估:在12,093名参与者中,71.7%有颈动脉斑块。在调整混杂因素后,MLR,NLR,dNLR,PLR,SII,SIRI,发现WMR与颈动脉斑块形成有关。其中,MLR与颈动脉斑块(奇数比[OR]:1.889;95%置信区间[CI]:1.406-2.539)和高回声斑块(OR:2.024;95%CI:1.481-2.767)的发生率密切相关。当MLR被视为分类变量时,Q4颈动脉斑块形成的风险是Q1的1.4倍.女性MLR与颈动脉斑块的关系(OR:2.250;95%CI:1.458~3.473)强于男性(OR:1.638;95%CI:1.102~2.436)。65岁以下患者的MLR与颈动脉斑块之间的关系(OR:3.597;95%CI:2.379-5.439)强于65岁以上患者(OR:1.577;95%CI:1.046-2.378)。
未经证实:白细胞来源的比率与发病率有关,number,颈动脉斑块的回声特征。特别是,MLR,包括先天免疫和适应性免疫的炎症生物标志物,在揭示斑块的入射和回声特征方面可能具有重要价值。
UNASSIGNED: This
study explored the relationship between monocyte-to-lymphocyte ratio (MLR) as well as other leukocyte-derived ratios and carotid plaques in patients with coronary heart disease (CHD).
UNASSIGNED: A total of 12,093 patients with CHD were selected as research participants. Leukocyte-derived ratios assessed in this
study included neutrophil-to-lymphocyte ratio (NLR), derived NLR (dNLR), MLR, platelet-to-lymphocyte ratio (PLR), white blood cell-to-mean platelet volume ratio (WMR), lymphocyte×neutrophil/104 ratio (MNM), systemic immune inflammation index (SII), and systemic inflammation response index (SIRI). Leukocyte-derived ratios were divided into four groups according to quarters. Logistic regression analysis was performed to evaluate the relationship between leukocyte-derived ratios and the incidence, number, and echo characteristics of carotid plaques in patients with CHD. Further analysis was performed after adjusting for confounding factors.
UNASSIGNED: Among the 12,093 participants, 71.7% had carotid plaques. After adjusting for confounding factors, MLR, NLR, dNLR, PLR, SII, SIRI, and WMR were found to be associated with carotid plaque formation. Among them, MLR had the strongest association with the incidence of carotid plaques (odd ratio[OR]:1.889; 95% confidence interval[CI]:1.406-2.539) and hyperechoic plaques (OR:2.024; 95% CI:1.481-2.767). When MLR was viewed as a categorical variable, the risk of carotid plaque formation in Q4 was 1.4 times higher than that in Q1. The relationship between MLR and carotid plaques in females (OR:2.250; 95% CI:1.458-3.473) was stronger than that in males (OR: 1.638; 95% CI:1.102--2.436). The relationship between MLR and carotid plaques in patients younger than 65 years (OR:3.597; 95% CI:2.379-5.439) was stronger than that in those older than 65 years (OR:1.577; 95% CI:1.046-2.378).
UNASSIGNED: Leukocyte-derived ratios were related to the incidence, number, and echo characteristics of carotid plaques. In particular, MLR, an inflammatory biomarker that encompasses innate and adaptive immunity, may be of great value in revealing the incidence and echo characteristics of plaques.