炎症标志物在慢性心力衰竭临床预后评估中的作用

doi:10.3760/cma.j.cn441417-20240531-01009

摘要/Abstract

摘要：

炎症参与慢性心力衰竭的发生发展。传统的炎症标志物以C反应蛋白（C-reactive protein，CRP）、肿瘤坏死因子-α（tumor necrosis factor-α，TNF-α）、白细胞介素-6（interleukin-6，IL-6）、降钙素原（procalcitonin，PCT）等为代表，在慢性心力衰竭预后评估中有重要价值。近年来，随着研究的不断深入，新型复合型炎症标志物如中性粒细胞与淋巴细胞比值（neutrophil to lymphocyte ratio，NLR）、淋巴细胞与单核细胞比值（lymphocyte to monocyte ratio，LMR）、血小板与淋巴细胞比值（platelet to lymphocyte ratio，PLR）、单核细胞与高密度脂蛋白胆固醇比值（monocyte to HDL cholesterol ratio，MHR）、系统免疫炎症指数（systemic immune-inflammatory index，SII）成为研究的热点，相比于传统炎症标志物，其在慢性心力衰竭中的表现更稳定，有望为慢性心力衰竭患者的临床诊治提供新的参考。

关键词:

慢性心力衰竭, 传统炎症标志物, 新型复合型炎症标志物, 进展

Abstract:

Inflammation participates in the development of chronic heart failure. Traditional inflammatory markers, represented by C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and procalcitonin (PCT), have important value in the prognosis evaluation of chronic heart failure. In recent years, with the continuous deepening of the research, novel composite inflammatory markers such as neutrophil to lymphocyte ratio (NLR), lymphocyte to monocyte ratio (LMR), platelet to lymphocyte ratio (PLR), monocyte to high-density lipoprotein cholesterol ratio (MHR), systemic immune-inflammatory index (SII) have become research hotspots. Compared to the traditional inflammatory markers, their performances are more stable in chronic heart failure, which are expected to provide a new reference for the clinical diagnosis and treatment of chronic heart failure.

Key words:

Chronic heart failure, Traditional inflammatory biomarkers, Novel composite inflammatory markers, Progress

姜泽军汤胜宇杨红玲.

炎症标志物在慢性心力衰竭临床预后评估中的作用 [J]. 国际医药卫生导报, 2025, 31(1): 42-46.

Jiang Zejun, Tang Shengyu, Yang Hongling.

Roles of inflammatory biomarkers in the evaluation of clinical outcomes in chronic heart failure [J]. International Medicine and Health Guidance News, 2025, 31(1): 42-46.

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