Maleki Ali, Rashidi Negin, Almasi Vahid, Montazeri Mahdi, Forughi Saeid, Alyari Farshid
Assistant Professor, Department of Cardiology, Madani Heart Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Internist, Imam Khomeini Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran.
ARYA Atheroscler. 2014 Jul;10(4):199-202.
Bleeding time (BT) is the oldest and simplest test for assessing the platelets (Plts) function. BT can affect by several factors such as race and diet, which has a wide reference range. The aim of this project is to determine the normal range of BT in Borujerd, Iran. Determining the normal range of BT can help us to modify the definition of bleeding disorder and aspirin resistance.
This was cross-sectional study carried out in 2011-2012. Subjects with a history of coagulation disorders or a positive family history of coagulation disorders, consumption of anti-Plts, anti-histamines, and phenothiazine in the previous month and subject with Plt less than 150,000 were excluded. The samples were 505 volunteers who were referred from 16 urban and 9 rural clusters to research center. BT of the samples was determined according to Ivy simplate method considering national standard protocol in the selected persons. Normal range was calculated as mean ± 2 standard deviation.
Of 505 volunteers, 50.4% were female. The range of BT was 2.8-2.95 min with mean of 2.79 ± 0.78 min. Range and mean of BT in women was 2.83-3.06 min and 2.88 ± 0.87 min, and range and mean of BT in men was 2.7-2.9 min and 2.69 ± 0.67 min; this difference was significant (P = 0.012). BT in urban and rural participants was 2.78 ± 0.79 and 2.77 ± 0.73 min. There was no significant difference between BT in urban and rural participants.
The normal range of BT in Boroujerd was in the lower limit of the normal universal range. In this study, BT was significantly different in both genders, but its correlation with age, blood group, and place of residency was not significant.
出血时间(BT)是评估血小板(Plts)功能最古老且最简单的检测方法。BT会受到种族和饮食等多种因素的影响,其参考范围较宽。本项目的目的是确定伊朗博鲁杰尔德地区BT的正常范围。确定BT的正常范围有助于我们修正出血性疾病和阿司匹林抵抗的定义。
这是一项于2011年至2012年开展的横断面研究。排除有凝血障碍病史或凝血障碍家族史阳性、前一个月服用抗血小板药物、抗组胺药和吩噻嗪类药物以及血小板计数低于150,000的受试者。样本为从16个城市和9个农村地区招募到研究中心的505名志愿者。根据选定人员的国家标准方案,采用Ivy简易法测定样本的BT。正常范围计算为均值±2个标准差。
505名志愿者中,50.4%为女性。BT范围为2.8 - 2.95分钟,均值为2.79±0.78分钟。女性的BT范围和均值分别为2.83 - 3.06分钟和2.88±0.87分钟,男性的BT范围和均值分别为2.7 - 2.9分钟和2.69±0.67分钟;差异具有统计学意义(P = 0.012)。城市和农村参与者的BT分别为2.78±0.79分钟和2.77±0.73分钟。城市和农村参与者的BT之间无显著差异。
博鲁杰尔德地区BT的正常范围处于全球正常范围的下限。在本研究中,BT在两性之间存在显著差异,但其与年龄、血型和居住地点的相关性不显著。