结核性浆膜炎图文报告中淋巴细胞百分比与ADA、LDH、总蛋白的相关性分析  

作　　者：王海鲜 吴茅 

机构地区：[1]浙江省临海市第一人民医院,317000

出　　处：《浙江临床医学》2022年第3期425-426,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨临床诊断为结核性浆膜炎的患者积液图文报告的淋巴细胞百分比与腺苷脱氨酶(ADA)、乳酸脱氢酶(LDH)、总蛋白含量的相关性。方法选取2013年1月至2019年12月临床诊断为结核性浆膜炎患者221例作为观察组,按淋巴细胞比例分为观察组1(淋巴细胞比例≤60%),观察组2(60%<淋巴细胞比例≤80%),观察组3(淋巴细胞比例>80%),另取75例图文报告诊断为慢性非特异性炎症患者作为对照组。比较观察组与对照组ADA、LDH、总蛋白含量的差异,结果观察组ADA、LDH、总蛋白的含量均显著高于对照组(P<0.05),各观察组间ADA、LDH、总蛋白含量差异无统计学意义(P>0.05)。结论结核性浆膜炎患者积液中ADA、LDH、总蛋白的含量明显升高,但其升高程度与淋巴细胞所占百分比无相关性。淋巴细胞百分比明显升高同时伴ADA或LDH或总蛋白升高,则结核性浆膜炎诊断的阳性率会明显提高。Objective To analyze the clinical diagnosis of tuberculous serositis and the correlation between lymphocyte percentage and AD A,LDH and total protein.Methods 221 cases of tuberculous serositis from 2013 to 2019 were divided into the following three groups,experimental group lrlymphocyte rario≤60%,experimental group 2:60%<lymphocyte ratio≤80%,Experimental group 3:lymphocyte ratio>80%.Choose another 75 cases of chronic nonspecific inflammation which were diagnosed as control group.Compare the differences between each experimental group and control group.Results ADA,LDH and total protein of each experimental group was significantly higher than that of the control group(P<0.05).There was no significant differences in ADA,LDH and total protein between the experimental groups(P>0.05).Conclusion ADA,LDH and total protein in the effusion of patients with tuberculous serositis are significantly increased,but there is no correlation between the degree of the percentage of lymphocytes.The positive rate of tuberculous serositis would be significantly increased if the percentage of lymphocytes is significantly increased with the increase of ADA,LDH and total protein.

关 键 词：结核性浆膜炎 淋巴细胞比例 腺苷脱氨酶 总蛋白 乳酸脱氢酶 

分 类 号：R73[医药卫生—肿瘤]