showed a trendP > .05
38 , 39 Although the PLR values in the experimental group showed a trend toward being lower than those in the control group, this difference was not statistically significant ( P > .05), which may be related to sample size or the sensitivity of PLR values as an inflammatory marker. 40 Because a pivotal pro-inflammatory cytokine, IL-6, plays a central role in mediating acute-phase responses and inflammation. 19 This study found that IL-6 levels did not significantly increase in the experimental group after treatment, although they significantly increased in the control group ( P value < .05).