红细胞分布宽度与腺性膀胱炎患者术后3年复发的相关性研究

目的 探讨红细胞分布宽度（RDW）与腺性膀胱炎患者术后3年复发的相关性。方法 连续性选择笔者医院117例腺性膀胱炎手术患者的临床资料，依据患者术后3年复发情况分为两组，分别为复发组（n=24）及未复发组（n=93），比较两组一般临床资料及实验室指标的差异；再根据RDW中位数水平，分为RDW低值组组（n=61）及RDW高值组组（n=56），比较两组复发率的差异；采用多因素Logistic回归分析找出复发的独立相关因素。结果 腺性膀胱炎患者术后3年复发组的RDW水平（13.1%±1.8% vs 11.7%±1.1%，P=0.001）显著高于未复发组。RDW高值组组复发率（32.1% vs 9.8%，P=0.003）显著高于RDW低值组组；多因素Logistic回归分析显示RDW （OR=2.120，95% CI：1.322~3.401，P=0.002）、慢性泌尿系炎症史（OR=7.476，95% CI：2.076~26.915，P=0.002）及泌尿系结石史（OR=5.428，95% CI：1.245~23.669，P=0.024）是腺性膀胱炎患者术后3年复发的独立相关因素。结论 RDW水平与腺性膀胱炎患者术后3年复发关系密切，高RDW水平的腺性膀胱炎患者，其术后3年复发的风险增加。

Red Cell Distribution Width Correlates with 3-years Recrudescence in Patients with Cystitis Glandularis after Surgery

Objective To investigate the correlation of the red blood cell distribution width (RDW) and patients with Cystitis Glandularis after surgery complicated by 3 years recrudescence. Methods Totally 117 cases of patients with Cystitis Glandularis after surgery were enrolled to study. Based on 3-years recrudescence or not, the patients were divided into 2 groups, recrudescence group (n=24) and NON-recrudescence group (n=93). Variance indicators of differences in the two groups were compared by t test. Then according to the median level of RDW, the patients were divided into High-RDW group (n=56) and Low-RDW group (n=61). Logistic regression was used to analyze the relationship between recrudescence and other factors in patients. Results The RDW lever (13.1%±1.8% vs 11.7%±1.1%, P=0.001) in recrudescence group was significantly increased comparing with the other group. The incidence of recrudescence was significantly higher in High-RDW group (32.1% vs 9.8%,P=0.003), compared to Low-RDW group. Logistic regression analysis revealed that RDW independently predicted for recrudescence (OR=2.120, 95% CI:1.322-3.401, P=0.002). Conclusion The present study indicates that the level of RDW has a closely related with recrudescence in Cystitis Glandularis patients after surgery. The Cystitis Glandularis patients after surgery, who had a high level of RDW, had an increased risk in 3-years recrudescence.