淋巴细胞、单核细胞和血小板计数、平均血小板体积、中性粒细胞与淋巴细胞比值、淋巴细胞与单核细胞比值和血小板与淋巴细胞比值在压疮不同阶段的预后影响

L. Delen, Mesut Öterkuş
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引用次数: 0

摘要

背景/目的:压疮(PU)是重症监护患者面临的一个重要问题。各种因素导致了压疮的发展。治疗的主要重点是采取措施,预防可能导致脓肿的营养和体位等因素。因此,识别能够作为PU形成和发展预警信号的参数是至关重要的。本研究探讨了血液学参数作为预警信号的潜在用途。方法:记录并分析重症监护病房住院期间发生压疮的158例患者的人口学资料、合并症、PU分期和实验室参数。结果:在158例纳入研究的患者中,脓肿在高龄、肺炎、慢性阻塞性肺疾病(COPD)、冠状动脉疾病和神经退行性疾病患者中更为普遍。PU 2期和3期的平均血小板体积(MPV)明显高于1期。而年龄、淋巴细胞计数、单核细胞计数、中性粒细胞与淋巴细胞比值(NLR)、淋巴细胞与单核细胞比值(LMR)、血小板与淋巴细胞比值(PLR)在PU分期间无显著差异(P<0.05)。结论:高龄、肺炎、慢性阻塞性肺病、冠心病和神经退行性疾病是PU的危险因素。虽然MPV最初被认为是一个潜在的刺激参数,但证据不足。这个问题需要进一步的研究来探讨。在本研究中,除MPV外,其他参数的影响未显示任何兴奋性信号。
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The prognostic effect of lymphocyte, monocyte, and platelet counts, mean platelet volume, neutrophil-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, and platelet-to-lymphocyte ratio on different stages of pressure ulcers
Background/Aim: Pressure ulcers (PU) pose a significant problem for patients in intensive care. Various factors contribute to the development of pressure sores. The primary focus of treatment is to implement measures that prevent factors such as nutrition and positioning, which can lead to PUs. Therefore, it is crucial to identify parameters that can serve as warning signals for the formation and progression of PU. This study investigates the potential use of hematological parameters as warning signals. Methods: Demographic data, co-morbidities, PU stages, and laboratory parameters of 158 patients hospitalized in the intensive care unit who developed pressure ulcers during their hospital stay were recorded and analyzed. Results: Among the 158 cases included in the study, PUs were more prevalent in patients of advanced age, those with pneumonia, chronic obstructive pulmonary disease (COPD), coronary diseases, and neurodegenerative diseases. Mean platelet volume (MPV) was significantly higher in PU stages 2 and 3 compared to stage 1. However, age, lymphocyte count, monocyte count, neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR), and platelet-to-lymphocyte ratio (PLR) did not exhibit significant differences among the stages of PU (P<0.05). Conclusion: Advanced age, pneumonia, COPD, coronary diseases, and neurodegenerative diseases are identified as risk factors for PU. Although MPV was initially considered a potential, stimulating parameter, the evidence was insufficient. Further research is required to explore this issue. The impact of parameters other than MPV did not show any excitatory signal in this study.
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