Kemal Ozgur, Müderris Togay, Sevil Ergün, Kutlar Gökhan
Otolaryngology Department, Faculty of Medicine, Ondokuz Mayis University, Samsun.
Laryngoscope. 2015 Apr;125(4):788-90. doi: 10.1002/lary.24990. Epub 2014 Oct 24.
OBJECTIVES/HYPOTHESIS: Mean platelet volume is the measurement of the average size of platelets in the blood, and red blood cell distribution width is the variability of the size of red blood cells in circulation. This study aimed to investigate if there was any relationship between mean platelet volume, red blood cell distribution, and epistaxis.
Prospective controlled trial.
The study included 90 patients admitted to Ankara Atatürk Hospital and Samsun Medicana Hospital with complaints of recurrent epistaxis, and a control group of 90 healthy subjects. Blood samples were taken from all patients and control group subjects. Mean platelet volume and red blood cell distribution parameters were examined and compared between the two groups.
The mean platelet volume levels were determined as 8.86 ± 0.1 in the control group and 8.36 ± 0.1 in the patient group. The difference between the two groups with respect to mean platelet volume was statistically significant (P < .05). The mean red blood cell distribution levels were determined as 12.68 ± 0.32 in the control group and 11.90 ± 0.16 in the patient group. The difference between the two groups with respect to red blood cell distribution was also statistically significant (P < .05).
The results of this study showed a clinical finding of lower mean platelet volume and red blood cell distribution levels in epistaxis. These findings could be beneficial in new investigations into epistaxis mechanisms.
目的/假设:平均血小板体积是对血液中血小板平均大小的测量,而红细胞分布宽度是循环中红细胞大小的变异性。本研究旨在调查平均血小板体积、红细胞分布与鼻出血之间是否存在任何关联。
前瞻性对照试验。
该研究纳入了90名因反复鼻出血主诉入住安卡拉阿塔图尔克医院和萨姆松梅迪卡纳医院的患者,以及90名健康受试者作为对照组。采集了所有患者和对照组受试者的血样。对两组的平均血小板体积和红细胞分布参数进行了检测和比较。
对照组的平均血小板体积水平测定为8.86±0.1,患者组为8.36±0.1。两组在平均血小板体积方面的差异具有统计学意义(P<0.05)。对照组的平均红细胞分布水平测定为12.68±0.32,患者组为11.90±0.16。两组在红细胞分布方面的差异也具有统计学意义(P<0.05)。
本研究结果显示,鼻出血患者的平均血小板体积和红细胞分布水平较低,这一临床发现可能有助于鼻出血机制的新研究。