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©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
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
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) | Z | P |
RDW (%) | 12.8 (12.3-13.2) | 12.9 (12.5-13.3) | 13.0 (12.7-13.5)a | 14.2 (13.2-15.4)ace | 48.104 | 0.000 |
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) | 3.64 | 0.300 |
MPV (fL) | 10.95 (10.17-11.70) | 10.80 (9.80-11.40) | 10.50 (10.00-11.00)a | 10.10 (9.50-10.65)ace | 21.646 | 0.000 |
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) | 5.685 | 0.128 |
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) | 0.327 | 0.956 |
LYMP (×109/L) | 2.15 (1.77-2.40) | 1.65 (1.30-2.10)a | 1.60 (1.30-1.97)a | 1.20 (1.10-1.50)ace | 65.816 | 0.000 |
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) | 7.210 | 0.065 |
NLR | 1.61 (1.26-2.00) | 2.06 (1.58-2.87)a | 2.12 (1.72-2.59)a | 3.00 (2.21-4.26)ace | 57.465 | 0.000 |
PLR | 101.42 (83.77-11.69) | 119.87 (81.73-159.04) | 121.00 (103.92-159.91)a | 175.71 (129.16-238.75)ace | 43.385 | 0.000 |
表3 各血常规指标对胃癌的诊断价值
项目 | AUC | P值 | 95%CI | 最佳临界值 | 敏感性 | 特异性 |
RDW (%) | 0.824 | 0.000 | 0.746-0.902 | 13.1 | 0.825 | 0.724 |
MPV (fL) | 0.738 | 0.000 | 0.649-0.828 | 10.85 | 0.807 | 0.552 |
LYMP (×109/L) | 0.909 | 0.000 | 0.856-0.962 | 1.65 | 0.842 | 0.828 |
NLR | 0.882 | 0.000 | 0.819-0.944 | 2.05 | 0.842 | 0.910 |
PLR | 0.831 | 0.000 | 0.753-0.908 | 150.61 | 0.719 | 0.897 |
NR (×109/L) | 0.637 | 0.011 | 0.533-0.742 | 4.45 | 0.456 | 0.897 |
PLT (×1011/L) | 0.527 | 0.621 | 0.419-0.635 | - | - | - |
PDW (%) | 0.583 | 0.123 | 0.475-0.692 | - | - | - |
WBC (×109/L) | 0.492 | 0.882 | 0.383-0.601 | - | - | - |
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值 |
RDW (%) | 12.9 ± 0.85 | 12.6 ± 0.42 | 0.053 |
MPV | 10.85 ± 0.92 | 11.19 ± 0.98 | 0.186 |
LYMP (×109/L) | 2.19 ± 0.42 | 2.01 ± 0.56 | 0.181 |
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 |
NLR | 1.7 (1.4-2.0) | 1.4 (1.1-1.9) | 0.118 |
PLR | 10.6 (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值 |
RDW (%) | 13.0 ± 0.79 | 12.7 ± 0.55 | 0.055 |
PLT (×1010/L) | 2.03 ± 0.64 | 1.98 ± 3.0 | 0.77 |
PDW (%) | 13.8 ± 2.4 | 14.9 ± 3.0 | 0.137 |
WBC (×109/L) | 6.19 ± 0.59 | 5.80 ± 1.47 | 0.471 |
NR (×109/L) | 3.61 ± 1.26 | 3.80 ± 1.18 | 0.442 |
PLR | 121.3 ± 60.5 | 122.11 ± 50.2 | 0.962 |
MPV | 10.8 (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 |
NLR | 2.0 (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值 |
WBC (×109/L) | 6.27 ± 1.86 | 5.90 ± 1.00 | 0.366 |
LYMP (×109/L) | 1.61 ± 0.48 | 1.62 ± 0.52 | 0.963 |
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 |
NLR | 2.21 (1.61-2.68) | 1.8 (1.17-2.08) | 0.864 |
PLR | 120.0 (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值 |
MPV (fL) | 10.11 ± 1.04 | 10.02 ± 0.73 | 0.735 |
LYMP (×109/L) | 1.28 ± 0.44 | 1.29 ± 0.38 | 0.948 |
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 |
NLR | 3.60 (2.21-4.41) | 2.8 (2.20-3.83) | 0.504 |
PLR | 174.35 (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