NLR与脑出血预后关系的研究进展
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青海省昆仑英才·高端创新创业人才项目


Research progress on the relationship between NLR and prognosis of intracerebral hemorrhage
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    摘要:

    脑出血具有病残率高和病死率高的特点。炎性反应与脑出血病程密切相关,脑出血后白 细胞释放炎性介质与细胞毒性介质,通过提高毛细血管通透性、促进细胞肿胀,损伤血脑屏障,进而增 强病变周围水肿,影响脑出血的临床病程。因此,炎症标志物有助于判断脑出血发展过程及预后。在 炎症反应中,中性粒细胞和淋巴细胞是两类主要参与者,中性粒细胞与淋巴细胞比值(NLR)则整合了这 两类细胞的信息,是炎症反应的可靠指标,该比值在临床应用中存在一定的潜在价值。本文结合相关 研究,重点阐述 NLR 在脑出血后发展过程中的相关作用机制及对预后评估的意义。

    Abstract:

    Intracerebral hemorrhage is characterized by high morbidity and mortality. Inflammatory response is closely related to the course of intracerebral hemorrhage. After intracerebral hemorrhage, white blood cells release inflammatory and cytotoxic mediators, which promote capillary permeability, cell swelling and damage the blood-brain barrier, enhance edema around the lesion, and then affect the clinical course of intracerebral hemorrhage. Thus, evaluation of inflammatory markers is helpful for the development and prognosis of intracerebral hemorrhage. In the inflammatory response, neutrophils and lymphocytes are the two main players, and the neutrophil to lymphocyte ratio (NLR) integrates the information of both neutrophils and lymphocytes, is a reliable indicator of inflammatory response, and the ratio has certain potential value in clinical application. This article reviews the relevant mechanism and prognosis of NLR after intracerebral hemorrhage in combination with related research in recent years.

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张金涛,杨进财,陈淑君,包强吉,张强,杨明飞. NLR与脑出血预后关系的研究进展[J].神经疾病与精神卫生,2023,23(9):
DOI :10.3969/j. issn.1009-6574.2023.09.011.

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  • 在线发布日期: 2023-10-24