乙型肝炎病毒相关失代偿期肝硬化患者的血小板、平均血小板体积、淋巴细胞、白细胞及其比率变化

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Precision Medical Sciences Pub Date : 2022-06-01 DOI:10.1002/prm2.12070
Changzhi Xu, Yanhua Yi, Zhizhi Xie, Donglin Zhu, Dannier Abuduwaili, Zhu Wang, Yun Xi
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引用次数: 0

摘要

血常规检查是一项廉价的常规临床项目,包括许多血液参数。乙型肝炎病毒(HBV)感染可能对乙型肝炎肝硬化失代偿期患者的血液参数产生显著影响。然而,细节还不太清楚。本回顾性分析共纳入207名HBV相关失代偿性肝硬化(HBV‐DeCi)患者。纳入的患者被分为三组:44例HBsAg、HBeAg和HbcAb阳性的患者被设为第一组;将122例HBsAg、HBeAb和HbcAb阳性患者设为II组;将41例HBsAb、HBeAb和HbcAb阳性患者设为第三组。分别分析血液参数,包括血小板(PLT)计数、平均血小板体积(MPV)、淋巴细胞计数、白细胞计数和MPV/淋巴细胞比值(MPVLR)、淋巴细胞/白细胞比值(LLR)、血小板/白细胞比率(PLR)。分别对上述参数与HBV感染的相关性进行了表征。I组和II组的PLT、MPVLR和PLR值低于III组。II组的LLR远高于I组和III组。HBV确实对HBV-DeCi患者的血液参数有显著影响。必须采取有效的治疗方法,及时实现肝硬化的代偿。
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Platelets, mean platelet volume, lymphocytes, leukocytes, and ratios of them altered in patients with hepatitis B virus‐related decompensated cirrhosis
Blood routine examination is an inexpensive, routinely performed clinical project, which includes many blood parameters. Hepatitis B virus (HBV) infection may have significant effects on blood parameters in decompensated patients with hepatitis B cirrhosis. However, details were not quite clear yet. A total of 207 HBV‐related decompensated cirrhosis (HBV‐DeCi) patients were included in this retrospective analysis. The included patients were subdivided into three groups: 44 patients with HBsAg, HBeAg, and HbcAb positive were set as Group I; 122 patients with HBsAg, HBeAb, and HbcAb positive were set as Group II; 41 patients with HBsAb, HBeAb, and HbcAb positive were set as Group III. Blood parameters, including platelet (PLT) count, mean platelet volume (MPV), lymphocyte count, leukocyte count and MPV/lymphocyte ratio (MPVLR), lymphocyte/ leukocyte ratio (LLR), platelet/leukocyte ratio (PLR) were analyzed respectively. The correlation between mentioned parameters and the HBV infection were characterized respectively. The values of PLT, MPVLR, and PLR in Group I and II were lower than that in Group III. Group II has a much higher LLR than that in Group I and III. HBV does have significantly effect on blood parameters in HBV‐DeCi patients. Effective treatment must be applied to achieve cirrhosis recompensation promptly.
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Precision Medical Sciences
Precision Medical Sciences MEDICINE, RESEARCH & EXPERIMENTAL-
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发文量
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审稿时长
15 weeks
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