中性粒细胞与淋巴细胞比值在心脑血管疾病中的研究进展
Research Progress in the Ratio of Neutrophils to Lymphocytes in Cardiovascular and Cerebrovascular Diseases
DOI: 10.12677/ACM.2021.111016, PDF,   
作者: 高向向:延安大学附属医院全科医学,陕西 延安;王营忠*, 薛万腾, 李 江:延安大学附属医院心内科,陕西 延安
关键词: NLR动脉粥样硬化炎症反应NLR Atherosclerosis Inflammatory Response
摘要: 随着社会的进步,生活方式的改善,心脑血管疾病发生率逐年上升,如高血压、冠状动脉粥样硬化性心脏病、脑梗死(Acute Cerebral Infarction, ACI)等慢性疾病。心脑血管疾病与长期血管壁慢性炎症后动脉粥样硬化相关,根据目前国内外研究证明,中性粒细胞与淋巴细胞比值(Neutrophil-Lymphocyte Ratio, NLR)与动脉粥样硬化的发生、发展及其转归有着密切的联系。但目前对NLR研究尚有争论,并且影响因素较多,对NLR具体数值还尚不确定,许多科研人员及临床医生对NLR逐渐重视,越来越多的关于NLR的文献相继出版,NLR必将更加适用于临床疾病的判断、治疗及其转归,为临床医生提供参考,从而让患者受益。
Abstract: With the progress of society and the improvement of lifestyle, the incidence of cardiovascular and cerebrovascular diseases increases year by year, such as hypertension, coronary atherosclerotic heart disease, acute cerebral infarction (ACI) and other chronic diseases. Cardiovascular and cerebrovascular diseases are related to atherosclerosis after chronic inflammation of vascular walls. According to the current studies at home and abroad, the neutrophil-lymphocyte ratio (NLR) is closely related to the occurrence, development and outcome of atherosclerosis. But the current research of NLR is in dispute, influence factors are more, and the specific numerical NLR is uncertain. Many researchers and clinicians gradually pay attention to NLR, and more and more literatures have been published about NLR. NLR will be more suitable for clinical judgment, treatment and outcome of the disease, providing a reference for clinical doctors, so as to benefit patients.
文章引用:高向向, 王营忠, 薛万腾, 李江. 中性粒细胞与淋巴细胞比值在心脑血管疾病中的研究进展[J]. 临床医学进展, 2021, 11(1): 112-117. https://doi.org/10.12677/ACM.2021.111016

参考文献

[1] Guo, T.M., Cheng, B., Ke, L., Guan, S.M., Qi, B.L., Li, W.Z. and Yang, B. (2018) Prognostic Value of Neutrophil to Lymphocyte Ratio for In-Hospital Mortality in Elderly Patients with Acute Myocardial Infarction. Current Medical Science, 38, 354-359. [Google Scholar] [CrossRef] [PubMed]
[2] 巴燕·卡德尔别克, 张源明. 中性粒细胞与淋巴细胞比值和动脉粥样硬化研究进展[J]. 心血管病学进展, 2019, 40(3): 482-486.
[3] 刘朝美. 中性粒细胞/淋巴细胞比值对急性心肌梗死患者罪犯血管血流灌注水平的预测价值[D]: [硕士学位论文]. 长沙: 湖南师范大学, 2019.
[4] Wu, M.Y., Li, C.J., Hou, M.F. and Chu, P.Y. (2017) New Insights into the Role of Inflammation in the Pathogenesis of Atherosclerosis. International Journal of Molecular Sciences, 18, 2034. [Google Scholar] [CrossRef] [PubMed]
[5] 毛洋. 动脉粥样硬化易损斑块发生机制和超声分子成像研究[D]: [硕士学位论文]. 济南: 山东大学, 2020.
[6] 吕常智. 中性粒细胞与淋巴细胞比值对介入治疗后急性心肌梗死患者预后的影响[J]. 中国现代医生, 2016, 54(12): 1-3+7.
[7] 李坚, 叶林. 中性粒细胞/淋巴细胞比值与急性心肌梗死PCI术后预后的相关性研究[J]. 中国社区医师, 2017, 33(23): 116-117.
[8] 朱志坚, 孙丽芳, 陆志刚. 外周血中性粒细胞/淋巴细胞比值对急性心肌梗死患者预后的预测价值[J]. 陕西医学杂志, 2019, 48(10): 1326-1329.
[9] Prabhu, S.D. and Frangogiannis, N.G. (2016) The Biological Basis for Cardiac Repair after Myocardial Infarction: From Inflammation to Fibrosis. Circulation Research, 119, 91-112. [Google Scholar] [CrossRef
[10] Ezeigwe, A., Fashanu, O.E., Zhao, D., Budoff, M.J., Otvos, J.D., Thomas, I.C., Mora, S., Tibuakuu, M. and Michos, E.D. (2019) The Novel Inflammatory Marker GlycA and the Prevalence and Progression of Valvular and Thoracic Aortic Calcification: The Multi-Ethnic Study of Atherosclerosis. Atherosclerosis, 282, 91-99. [Google Scholar] [CrossRef] [PubMed]
[11] 尹炳坚. 外周血中性粒细胞与淋巴细胞比值在非ST段抬高型急性冠脉综合征危险分层中的意义[D]: [硕士学位论文]. 广州: 南方医科大学, 2016: 1-66.
[12] Rogers, M.A., Buffolo, F., Schlotter, F., Atkins, S.K., Lee, L.H., Halu, A., Blaser, M.C., Tsolaki, E., Higashi, H., Luther, K., Daaboul, G., Bouten, C.V.C., Body, S.C., Singh, S.A., Bertazzo, S., Libby, P., Aikawa, M. and Aikawa, E. (2020) Annexin A1-Dependent Tethering Promotes Extracellular Vesicle Aggregation Revealed with Single-Extracellular Vesicle Analysis. Science Advances, 6, eabb1244. [Google Scholar] [CrossRef] [PubMed]
[13] Tahto, E., Jadric, R., Pojskic, L. and Kicic, E. (2017) Neutrophil-to-Lymphocyte Ratio and Its Relation with Markers of Inflammation and Myocardial Necrosis in Patients with Acute Coronary Syndrome. Medical Archives, 71, 312-315. [Google Scholar] [CrossRef] [PubMed]
[14] 王铖, 李红建. 中性粒细胞/淋巴细胞比值与高血压关系的研究现状[J]. 右江医学, 2018(4): 491-494.
[15] 刘建峰, 华琦, 罗鸿宇, 朱玮玮, 李敬, 王钢. 中性粒细胞/淋巴细胞比值与原发性高血压及血压分级的相关性[J]. 山西医科大学学报, 2015, 46(6): 519-522.
[16] 石晶晶, 王欢, 胡元会, 邱志凌, 薄荣强, 封锐, 褚瑜光, 魏艺. 单纯收缩期高血压脉压分级与中性粒细胞、淋巴细胞相关性研究[J]. 中国循证心血管医学杂志, 2017, 9(9): 1077-1079.
[17] 王雪宁. 原发性高血压合并冠心病患者动态血压监测及心率变异性分析[D]: [硕士学位论文]. 新乡: 新乡医学院, 2020.
[18] 张金强, 刘可威. 红细胞分布宽度和中性粒细胞淋巴细胞比值对非杓型血压的预测价值[J]. 中国现代医生, 2014, 52(36): 16-18+21.
[19] 基层心血管病综合管理实践指南2020[J]. 中国医学前沿杂志(电子版), 2020, 12(8): 1-73.
[20] 王铖. 中性粒细胞/淋巴细胞比值、脉搏波传导速度与中青年原发性高血压患者早期肾损害的相关性研究[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2020.
[21] Aydin, M., Yuksel, M., Yildiz, A., Polat, N., Bilik, M.Z., Akil, M.A., Acet, H., Demir, M., Inci, U. and Toprak, N. (2015) Association between the Neutrophil to Lymphocyte Ratio and Prehypertension. Bratislavske Lekarske Listy, 116, 475-479. [Google Scholar] [CrossRef
[22] Liu, X., Zhang, Q., Wu, H., Du, H., Liu, L., Shi, H., Wang, C., Xia, Y., Guo, X., Li, C., Bao, X., Su, Q., Sun, S., Wang, X., Zhou, M., Jia, Q., Zhao, H., Song, K. and Niu, K. (2015) Blood Neutrophil to Lymphocyte Ratio as a Predictor of Hypertension. American Journal of Hypertension, 28, 1339-1346. [Google Scholar] [CrossRef] [PubMed]
[23] 戚江丽. 急性缺血性脑卒中静脉溶栓后脑水肿相关风险因素的临床研究[D]: [硕士学位论文]. 南昌: 南昌大学, 2020.
[24] 严攀, 刘波, 阴俊, 龙旭东, 路怀民, 赵卫侠, 张鑫, 马晓东, 付婷婷. 西安大略和麦克马斯特大学骨关节炎指数用于膝退行性骨关节炎患者评定的反应度研究[J]. 中国康复医学杂志, 2016, 31(2): 215-216.
[25] 王钦鹏. 白细胞分类计数及NLR与急性脑梗死严重程度及不良预后的相关性研究[D]: [硕士学位论文]. 兰州: 兰州大学, 2017.
[26] 翟萌萌. 中性粒细胞与淋巴细胞比值与急性脑梗死的相关性研究[D]: [硕士学位论文]. 郑州: 郑州大学, 2017.
[27] Tokgoz, S., Keskin, S., Kayrak, M., Seyithanoglu, A. and Ogmegul, A. (2014) Is Neutrophil/Lymphocyte Ratio Predict to Short-Term Mortality in Acute Cerebral Infarct Independently from Infarct Volume? Journal of Stroke and Cerebrovascular Diseases, 23, 2163-2168. [Google Scholar] [CrossRef] [PubMed]
[28] Jin, P., Li, X., Chen, J., Zhang, Z., Hu, W., Chen, L., Feng, X. and Shao, B. (2019) Platelet-to-Neutrophil Ratio Is a Prognostic Marker for 90-Days Outcome in Acute Ischemic Stroke. Journal of Clinical Neuroscience, 63, 110-115. [Google Scholar] [CrossRef] [PubMed]
[29] Zhang, Y., Jiang, L., Yang, P. and Zhang, Y. (2019) Diagnostic Values of Neutrophil and Neutrophil to Lymphocyte Ratio in Distinguishing between Acute Cerebral Infarction and Vertigo. Clinical Laboratory, 65. [Google Scholar] [CrossRef
[30] 林东, 苏斌儒, 冼云开, 牛冰. NLR、hs-CRP及血脂指标与急性脑梗死患者颈动脉粥样硬化斑块稳定性的关系[J]. 锦州医科大学学报, 2020(3): 81-83.