系统性免疫炎症反应指数在心血管疾病中的 研究进展
Research Progress of the Systemic Immune-Inflammation Response Index in Cardiovascular Diseases
摘要: 综述近2年来关于系统性免疫炎症反应指数(Systemic Immune-Inflammation Response Index, SIIRI)与心血管疾病关系的研究进展。炎症失衡是动脉粥样硬化(Atherosclerosis, AS)及心血管事件进展的核心病理机制,寻找便捷、高效的炎症评估指标将会对心血管疾病的精准防治带来重要意义。SIIRI作为一种新型的、扩展的复合炎症反应指标,通过外周血中性粒细胞、单核细胞、血小板与淋巴细胞计数的整合计算,反映机体免疫与炎症失衡状态。近年来SIIRI在心血管疾病领域的研究日渐深入,尤其在冠状动脉病变的风险评估及预后预测中展现出独特价值。本文基于现有相关研究文献,重点综述SIIRI在心血管疾病中的临床应用,分析当前研究的局限性,并展望未来发展方向,为SIIRI在心血管疾病临床实践中的规范化应用提供参考。
Abstract: The paper has reviewed the research progress on the relationship between the systemic immune-inflammation response index (SIIRI) and cardiovascular disease in the past two years. Identifying convenient and efficient inflammatory assessment indicators is of great significance for the precise prevention and treatment of cardiovascular diseases. The Systemic Immune-Inflammation Response Index (SIIRI), as a novel and extended composite inflammatory indicator, integrates peripheral blood neutrophil, monocyte, platelet, and lymphocyte counts to reflect the state of immune and inflammatory imbalance in the body. In recent years, research on SIIRI in the field of cardiovascular disease has deepened, demonstrating unique value, particularly in risk assessment and prognostic prediction of coronary artery disease. Based on relevant literature published in the past two years, this review focuses on the clinical applications of SIIRI in cardiovascular disease, analyzes current research limitations, and discusses future directions, aiming to provide a reference for the standardized application of SIIRI in clinical cardiovascular practice.
文章引用:李悦, 李树民. 系统性免疫炎症反应指数在心血管疾病中的 研究进展[J]. 临床医学进展, 2026, 16(6): 1446-1452. https://doi.org/10.12677/acm.2026.1662358

参考文献

[1] Islam, M.M., Satici, M.O. and Eroglu, S.E. (2024) Unraveling the Clinical Significance and Prognostic Value of the Neutrophil-to-Lymphocyte Ratio, Platelet-to-Lymphocyte Ratio, Systemic Immune-Inflammation Index, Systemic Inflammation Response Index, and Delta Neutrophil Index: An Extensive Literature Review. Turkish Journal of Emergency Medicine, 24, 8-19. [Google Scholar] [CrossRef] [PubMed]
[2] Mangalesh, S., Dudani, S. and Mahesh, N.K. (2024) Development of a Novel Inflammatory Index to Predict Coronary Artery Disease Severity in Patients with Acute Coronary Syndrome. Angiology, 75, 231-239. [Google Scholar] [CrossRef] [PubMed]
[3] 贺林锋, 戚本玲. NLR作为动脉粥样硬化预测指标的研究进展[J]. 中国老年学杂志, 2022, 42(13): 3349-3353.
[4] Song, B., Bie, Y., Feng, H., Xie, B., Liu, M. and Zhao, F. (2022) Inflammatory Factors Driving Atherosclerotic Plaque Progression New Insights. Journal of Translational Internal Medicine, 10, 36-47. [Google Scholar] [CrossRef] [PubMed]
[5] 王张羽, 曹少清, 李成思, 等. 全身免疫炎症反应指数与冠心病患者冠状动脉狭窄程度及其远期主要不良心血管事件的相关性分析[J]. 海军军医大学学报, 2024, 45(4): 477-486.
[6] Strukel, S., Teshome, B. and Rai, V. (2025) The Multifaceted Role of Platelets in Atherosclerosis and Ischemic Disease: Pathogenesis, Inflammation, and Therapeutic Opportunities. Life, 15, Article No. 1656. [Google Scholar] [CrossRef
[7] 李鹏新. 系统免疫炎症反应指数与冠心病合并2型糖尿病患者冠脉病变严重程度的相关性分析[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2024.
[8] Bani Hani, D.A., Alshraideh, J.A., Saleh, A., Alduraidi, H., Alwahadneh, A.A. and Al-Zaiti, S.S. (2025) Lymphocyte-Based Inflammatory Markers: Novel Predictors of Significant Coronary Artery Disease. Heart & Lung, 70, 23-29. [Google Scholar] [CrossRef] [PubMed]
[9] Knuuti, J., Wijns, W., Saraste, A., Capodanno, D., Barbato, E., Funck-Brentano, C., et al. (2020) 2019 ESC Guidelines for the Diagnosis and Management of Chronic Coronary Syndromes: The Task Force for the Diagnosis and Management of Chronic Coronary Syndromes of the European Society of Cardiology (ESC). European Heart Journal, 41, 407-477. [Google Scholar] [CrossRef] [PubMed]
[10] Karino, S., Willcox, B.J., Fong, K., Lo, S., Abbott, R. and Masaki, K.H. (2015) Total and Differential White Blood Cell Counts Predict Eight-Year Incident Coronary Heart Disease in Elderly Japanese-American Men: The Honolulu Heart Program. Atherosclerosis, 238, 153-158. [Google Scholar] [CrossRef] [PubMed]
[11] Kim, J.H., Lim, S., Park, K.S., Jang, H.C. and Choi, S.H. (2017) Total and Differential WBC Counts Are Related with Coronary Artery Atherosclerosis and Increase the Risk for Cardiovascular Disease in Koreans. PLOS ONE, 12, e0180332. [Google Scholar] [CrossRef] [PubMed]
[12] Shah, B., Baber, U., Pocock, S.J., Krucoff, M.W., Ariti, C., Gibson, C.M., et al. (2017) White Blood Cell Count and Major Adverse Cardiovascular Events after Percutaneous Coronary Intervention in the Contemporary Era: Insights from the PARIS Study (Patterns of Non-Adherence to Anti-Platelet Regimens in Stented Patients Registry). Circulation: Cardiovascular Interventions, 10, e004981. [Google Scholar] [CrossRef] [PubMed]
[13] 胡贤辉. SIIRI联合SDNN与冠心病及冠脉狭窄程度的相关性研究[D]: [硕士学位论文]. 十堰: 湖北医药学院, 2025.
[14] Li, Y., Bai, G., Gao, Y., Guo, Z., Chen, X., Liu, T., et al. (2023) The Systemic Immune Inflammatory Response Index Can Predict the Clinical Prognosis of Patients with Initially Diagnosed Coronary Artery Disease. Journal of Inflammation Research, 16, 5069-5082. [Google Scholar] [CrossRef] [PubMed]
[15] 王一凡. SIIRI联合NHHR对老年冠心病及冠脉狭窄程度的相关性研究[D]: [硕士学位论文]. 十堰: 湖北医药学院, 2025.
[16] Muheeb, G., Yusuf, J., Mehta, V., Faizuddin, M., Kurian, S., M. P., G., et al. (2025) Systemic Immune Inflammatory Response Index (SIIRI) in Acute Myocardial Infarction. Coronary Artery Disease, 36, 139-150. [Google Scholar] [CrossRef] [PubMed]
[17] 李萌. SIIRI与STEMI患者PCI术后院内心脑血管不良事件的相关性研究[D]: [硕士学位论文]. 延安: 延安大学, 2023.
[18] Alhawamdeh, N., Bani Hani, D.A., Alshraideh, J.A., Yousef, A.S. and Saleh, A. (2026) Novel Inflammatory Markers Predict Cardiovascular Events after Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome. Heart & Lung, 75, 111-116. [Google Scholar] [CrossRef
[19] 胡贤辉, 何振坤, 秦至琦, 等. 全身免疫炎性反应指数联合心率变异性与冠心病的相关性分析[J]. 湖北医药学院学报, 2025, 44(1): 47-52.