临床研究
Copyright ©The Author(s) 2018.
世界华人消化杂志. 2018-05-28; 26(15): 904-911
在线出版 2018-05-28. doi: 10.11569/wcjd.v26.i15.904
表1 四组患者的一般情况
指标CSG组 (58)CAG组 (56)HIN组 (52)GC组 (57)χ2/ZP
性别
383527303.2720.352
20212527
年龄 (岁)44(32-52)54(50-61)a59(51-64)a68(62-71)ace85.4390.000
表2 四组间血常规各指标比较
指标CSG组 (58)CAG组 (56)HIN组 (52)GC组 (57)ZP
RDW (%)12.8 (12.3-13.2)12.9 (12.5-13.3)13.0 (12.7-13.5)a14.2 (13.2-15.4)ace48.1040.000
PLT (×1011/L)2.10 (1.76-2.47)2.07 (1.43-2.37)1.94 (1.59-2.43)2.17 (1.68-2.80)3.640.300
MPV (fL)10.95 (10.17-11.70)10.80 (9.80-11.40)10.50 (10.00-11.00)a10.10 (9.50-10.65)ace21.6460.000
PDW (%)13.40 (11.37-15.50)14.45 (11.85-16.12)13.20 (11.52-14.57)14.50 (11.15-18.85)5.6850.128
WBC (×109/L)6.05 (5.37-6.90)5.99 (2.0-7.24)5.90 (5.22-7.00)6.00 (4.90-7.35)0.3270.956
LYMP (×109/L)2.15 (1.77-2.40)1.65 (1.30-2.10)a1.60 (1.30-1.97)a1.20 (1.10-1.50)ace65.8160.000
NR (×109/L)3.60 (2.87-4.20)3.40 (2.90-4.55)3.60 (2.62-4.27)4.20 (3.00-5.15)7.2100.065
NLR1.61 (1.26-2.00)2.06 (1.58-2.87)a2.12 (1.72-2.59)a3.00 (2.21-4.26)ace57.4650.000
PLR101.42 (83.77-11.69)119.87 (81.73-159.04)121.00 (103.92-159.91)a175.71 (129.16-238.75)ace43.3850.000
表3 各血常规指标对胃癌的诊断价值
项目AUCP95%CI最佳临界值敏感性特异性
RDW (%)0.8240.0000.746-0.90213.10.8250.724
MPV (fL)0.7380.0000.649-0.82810.850.8070.552
LYMP (×109/L)0.9090.0000.856-0.9621.650.8420.828
NLR0.8820.0000.819-0.9442.050.8420.910
PLR0.8310.0000.753-0.908150.610.7190.897
NR (×109/L)0.6370.0110.533-0.7424.450.4560.897
PLT (×1011/L)0.5270.6210.419-0.635---
PDW (%)0.5830.1230.475-0.692---
WBC (×109/L)0.4920.8820.383-0.601---
表4 CSG组中H. pylori阳性和H. pylori阴性患者血常规结果比较
项目H. pylori阳性 (37)H. pylori阴性 (21)P
RDW (%)12.9 ± 0.8512.6 ± 0.420.053
MPV10.85 ± 0.9211.19 ± 0.980.186
LYMP (×109/L)2.19 ± 0.422.01 ± 0.560.181
PLT (×1010/L)2.19 (1.88-2.68)1.80 (1.61-2.18)0.003a
PDW (%)13.0 (10.9-15.2)14.0 (11.9-16.2)0.171
WBC (×109/L)6.3 (5.7-7.0)5.8 (4.5-6.8)0.031a
NR (×109/L)3.9 (3.2-4.5)3.0 (2.3-3.7)0.007a
NLR1.7 (1.4-2.0)1.4 (1.1-1.9)0.118
PLR10.6 (8.4-13.1)8.9 (8.2-10.0)0.085
表5 CAG组中H. pylori阳性和H. pylori阴性患者血常规结果比较
项目H. pylori阳性 (35)H. pylori阳性 (21)P
RDW (%)13.0 ± 0.7912.7 ± 0.550.055
PLT (×1010/L)2.03 ± 0.641.98 ± 3.00.77
PDW (%)13.8 ± 2.414.9 ± 3.00.137
WBC (×109/L)6.19 ± 0.595.80 ± 1.470.471
NR (×109/L)3.61 ± 1.263.80 ± 1.180.442
PLR121.3 ± 60.5122.11 ± 50.20.962
MPV10.8 (9.7-11.4)10.8 (10.1-11.35)0.722
LYMP (×109/L)1.7 (1.3-2.2)1.5 (1.3-1.9)0.508
NLR2.0 (1.45-3.0)2.1 (1.7-2.8)0.207
表6 HIN组中H. pylori阳性和H. pylori阴性患者血常规结果比较
项目H. pylori阳性 (33)H. pylori阳性 (19)P
WBC (×109/L)6.27 ± 1.865.90 ± 1.000.366
LYMP (×109/L)1.61 ± 0.481.62 ± 0.520.963
RDW (%)13.0 (12.7-13.5)13.1 (12.6-13.6)0.834
PLT (×1011/L)1.81 (1.59-2.16)2.23 (1.59-2.53)0.262
MPV (fL)10.4 (9.9-10.8)10.5 (10.1-11.3)0.246
PDW (%)13.2 (11.3-14.7)13.2 (12.0-13.2)0.812
NR (×109/L)3.60 (2.55-4.25)3.70 (2.70-4.20)0.761
NLR2.21 (1.61-2.68)1.8 (1.17-2.08)0.864
PLR120.0 (82.75-156.88)132.00 (110.45-182.85)0.318
表7 GC组中H. pylori阳性和H. pylori阴性患者血常规结果比较
项目H. pylori阳性 (33)H. pylori阴性 (19)P
MPV (fL)10.11 ± 1.0410.02 ± 0.730.735
LYMP (×109/L)1.28 ± 0.441.29 ± 0.380.948
RDW (%)14.0 (13.2-15.6)14.4 (13.5-15.1)0.388
PLT (×1011/L)2.17 (1.55-2.82)2.16 (1.85-2.85)0.819
PDW (%)14.2 (11.4-18.6)14.6 (11.0-19.7)0.629
WBC (×109/L)5.95 (4.07-8.12)6.10 (5.40-7.00)0.813
NR (×109/L)4.50 (2.97-5.37)3.60 (3.10-4.70)0.330
NLR3.60 (2.21-4.41)2.8 (2.20-3.83)0.504
PLR174.35 (125.79-249.64)176.92 (153.12-222.35)0.866

引文著录: 谢燕, 文剑波, 李兴. 血常规分析对胃癌的早期诊断价值及与幽门螺旋杆菌感染的相关性. 世界华人消化杂志 2018; 26(15): 904-911