多种炎症指数与椎体压缩性骨折的相关性研究:横断面研究

IF 4.2 Q1 ENDOCRINOLOGY & METABOLISM
Qi Fu, Cuiping Zhang, Yujiao Yang, Ruoling Teng, Fenfen Liu, Ping Liu, Long Wang, Jiao Wang, Yanan Chen, Yi Ding
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引用次数: 0

摘要

背景椎体压缩性骨折(VCF)是骨质疏松症患者的常见病,对健康构成重大风险。虽然慢性低度炎症在骨质疏松症的发病机制中起着至关重要的作用,但各种炎症指标与骨折发生之间的关系仍不清楚。目的 本研究旨在评估多种炎症指数、中性粒细胞与淋巴细胞比值(NLR)、单核细胞与淋巴细胞比值(MLR)、血小板与淋巴细胞比值(PLR)、全身免疫炎症指数(SII)和全身炎症反应指数(SIRI)与 VCF 之间的相关性,以探讨这些指数在临床应用中的意义。方法收集该院2020年11月至2023年6月确诊的310例骨质疏松症患者的临床资料。描述骨折组和非骨折组的一般情况。采用斯皮尔曼分析和二元逻辑回归分析评估炎症指数与 VCF 之间的关系。结果43.55%的骨质疏松症患者确诊为 VCF。NLR(ρ = 0.169,P=0.003)、MLR(ρ = 0.293,P<0.001)、SII(ρ = 0.126,P=0.027)和 SIRI(ρ = 0.273,P<0.001)与 VCF 的发生呈正相关。NLR(OR=1.480,95 %CI 1.114 ∼ 1.966,P=0.007)、MLR(乘以 100,OR=1.048,95 %CI 1.011 ∼ 1.087,P=0.011)和 SIRI(OR=3.327,95 %CI 1.510 ∼ 7.330,P=0.003)是 VCFs 的独立危险因素,而髋骨矿物质密度(BMD)(OR=0.011,95 %CI 0.001 ∼ 0.151,P=0.001)是 VCFs 的独立保护因素。结论中性粒细胞与淋巴细胞比值(NLR)、单核细胞与淋巴细胞比值(MLR)和全身炎症反应指数(SIRI)是椎体压缩性骨折的独立危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation study of multiple inflammatory indices and vertebral compression fracture: A cross-sectional study

Background

Vertebral compression fractures (VCFs) are prevalent in patients with osteoporosis and pose significant health risks. Although chronic low-grade inflammation plays a crucial role in the pathogenesis of osteoporosis, the relationship between various inflammatory indices and the occurrence of fractures remains unclear.

Objective

This study aims to evaluate the correlation between multiple inflammatory indices, neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammatory index (SII), and systemic inflammatory response index (SIRI), and VCFs, to explore the significance of these indices in clinical application.

Methods

Clinical data of 310 patients diagnosed with osteoporosis from November 2020 to June 2023 in the hospital were collected. The general conditions between fracture and non-fracture groups were described. Spearman analysis and binary logistic regression analysis were used to assess the relationship between inflammatory indices and VCFs. Receiver operating characteristic curve was used to evaluate the diagnostic efficacy of these inflammatory indices for VCFs.

Results

VCFs were diagnosed in 43.55 % of patients with osteoporosis. NLR(ρ = 0.169, P=0.003), MLR(ρ = 0.293, P<0.001), SII(ρ = 0.126, P=0.027), and SIRI(ρ = 0.273, P<0.001) were positively correlated with the occurrence of VCFs. NLR(OR=1.480, 95 %CI 1.114 ∼ 1.966, P=0.007), MLR(multiplied by 100, OR=1.048, 95 %CI 1.011 ∼ 1.087, P=0.011), and SIRI(OR=3.327, 95 %CI 1.510 ∼ 7.330, P=0.003) were independent risk factors for VCFs, hip bone mineral density (BMD) (OR=0.011, 95 %CI 0.001 ∼ 0.151, P=0.001) was an independent protective factor for VCFs. MLR(AUC 0.671, 95 % CI=0.610 ∼ 0.732, P <0.001) had relatively high clinical diagnostic efficacy.

Conclusion

The neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and systemic inflammatory response index (SIRI) are independent risk factors for vertebral compression fractures.

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CiteScore
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自引率
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