OBSTRUKTİF UYKU APNE SENDROMU’NDA NÖTROFİL LENFOSİT ORANI Neutrophil To Lymphocyte Ratio In Obstructive Sleep Apnea Syndrome

Öz

ÖZET

Amaç: Nötrofil ve lenfosit oranı (NLO)’nın inflamatuar belirteç olarak inflamatuar hastalıklarda rolü keşfedilmiştir.

Obstruktif uyku apne sendromu (OSAS)’da komorbiditeler ile OSAS’da artan NLO arasındaki ilişki

değerlendirildi.

Yöntem: Toplam 232 OSAS hastası çalışmaya alındı. 50 OSAS olmayan olgu kontrol grubunu oluşturdu. NLO

her hasta ve kontrol olgusu için hesaplandı ve kaydedildi. Nötrofil lenfosit oranıyla hipertansiyon arasındaki

ilişki hipertansiyonu olan ve olmayan iki alt hasta grubunda değerlendirildi.

Bulgular: Çalışmada 100 kadın (%43.1), 132 erkek (%56.9) hasta mevcuttu. OSAS hastalarında ortalama NLO

(1.76±0.77), kontrol grubunda ortalama NLO (1.31±0.74) ile karşılaştırıldığında anlamlı olarak daha yüksekti

(p= 0.000). Hipertansiyon (HT) olan (3.59±14.92) ve olmayan (1.72±0.69) OSAS’lı hastalarda NLO’da anlamlı

farklılık saptandı (p= 0.014).

Sonuç: OSAS’da NLO inflamatuar belirteç olarak değerli olabilir. OSAS’da artan NLO, bu hastalardaki HT gibi

komorbid durumlardan kaynaklanabilir. Bu ucuz ve pratik method, günlük klinik pratikte, OSAS hastalarında

komorbiditeyi öngörmek için kullanılabilir.

Anahtar Sözcu¨kler: İnflamasyon; Nötrofil ve lenfosit orani; Obstruktif uyku apne sendromu

ABSTRACT

Objective: The role of neutrophil to lymphocyte ratio as an inflammatory marker in inflammatory conditions

has been explored. The association between neutrophil to lymphocyte ratio, which is elevated in patients

with obstructive sleep apnea syndrome, and hypertension in obstructive sleep apnea syndrome has been

examined.

Methods: A total of 232 obstructive sleep apnea syndrome patients were included in this study. A total

of 50 subjects without obstructive sleep apnea syndrome comprised the control group. The neutrophil

to lymphocyte ratio was calculated and recorded for each patient and control subject. The association of

neutrophil to lymphocyte ratio to hypertension was investigated in two sub-groups of patients defined on

the basis of the presence or absence of hypertension.

Results: There were 100 (43.1%) female and 132 (56.9%) male patients in the study. Obstructive sleep

apnea syndrome patients had significantly higher average neutrophil to lymphocyte ratio (1.76 ± 0.77)

as compared to controls (1.31 ± 0.74) (p=0.000). A significant difference in neutrophil to lymphocyte

ratio between obstructive sleep apnea syndrome patients with (3.59 ± 14.92) or without (1.72 ± 0.69)

hypertension was found (p=0.014).

Conclusion: Neutrophil to lymphocyte ratio may find some value as an inflammatory marker in obstructive

sleep apnea syndrome. Elevated neutrophil to lymphocyte ratio in obstructive sleep apnea syndrome may

arise from comorbid conditions such as hypertension in these patients. This cheap and practical method

may be used in daily clinical practice to predict comorbidity in OSAS patients.

Keywords: Inflammation; Neutrophil to lymphocyte ratio; OSAS; Obstructive sleep apnea syndrome; Sleep

apnea

Anahtar Kelimeler

• OBSTRUKTİF UYKU APNE SENDROMU’NDA NÖTROFİL LENFOSİT ORANI Neutrophil To Lymphocyte Ratio In Obstructive Sleep Apnea Syndrome

Kaynakça

1. Özlem ERÇEN DİKEN, Mesut ARSLAN [e-mail]