中性粒细胞与淋巴细胞比值在急性胰腺炎诊断中的应用  

Application of Neutrophil to Lymphocyte Ratio in the Diagnosis of Acute Pancreatitis

作　　者：高旭红[1] 徐丹[1] 甘萍[1] 倪琳婷[1] 

机构地区：[1]广东医学院附属深圳市南山区人民医院检验科,广东深圳518052

出　　处：《临床医学工程》2018年第2期179-180,共2页Clinical Medicine & Engineering

摘　　要：目的探讨中性粒细胞与淋巴细胞比值在急性胰腺炎患者诊断中的临床价值。方法选择我院2014年6月至2016年6月收治的58例急性胰腺炎患者作为观察组,按照病情程度分为重症急性胰腺炎组和轻型急性胰腺炎组;同时选择同期于我院进行健康体检的健康者58例作为对照组。分析比较各组的中性粒细胞与淋巴细胞比值。结果观察组患者入院时的中性粒细胞与淋巴细胞比值显著高于对照组(P<0.05)。随着治疗的进行,重症急性胰腺炎患者的中性粒细胞与淋巴细胞比值表现为高值持续时间较长且下降缓慢,轻型急性胰腺炎患者表现为高值持续时间较短且下降较快;重症急性胰腺炎患者的中性粒细胞与淋巴细胞比值显著高于轻型急性胰腺炎患者(P<0.05)。结论中性粒细胞与淋巴细胞比值对于急性胰腺炎患者的病情诊断具有重要临床价值。Objective To explore the clinical value of neutrophil to lymphocyte ratio （NLR） in the diagnosis of acute pancreatitis. Methods 58 cases of patients with acute pancreatitis admitted to our hospital from June 2014 to June 2016 were selected as the observation group; According to the condition of disease, all cases were divided into the severe acute pancreatitis （SAP） group and the mild acute pancreatitis （MAP） group. Meanwhile, 58 cases of healthy people who received health examination in our hospital at the same period were selected as the control group. The neutrophil to lymphocyte ratio was analyzed and compared. Results The NLR of observation group at admission was significantly higher than that of control group （P 〈0.05）. Along with the progress of treatment, the NLR of SAP patients maintained a high level for a long time and decreased slowly, and the NLR of MAP patients maintained a high level for a short time and decreased quickly; The NLR of SAP patients was significantly higher than that of MAP patients （P 〈0.05）. Conclusions The neutrophil to lymphocyte ratio （NLR） has important clinical value in the diagnosis of disease condition of patients with acute pancreatitis.

关 键 词：急性胰腺炎 中性粒细胞与淋巴细胞比值 血液 诊断 

分 类 号：R657.51[医药卫生—外科学]