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布鲁氏菌病中的平均血小板体积:布鲁氏菌标准血清凝集试验结果、血小板计数与C反应蛋白之间的相关性

Mean platelet volume in brucellosis: correlation between brucella standard serum agglutination test results, platelet count, and C-reactive protein.

作者信息

Okan Dogan Halef, Gökmen Zararsiz, Seyit Bayik, Yuksel Koca, Cevdet Zungun, Deniz Akbulut

机构信息

Clinical Biochemistry, Ankara Numune Training and Research Hospital, 06100, Ankara, Turkey.

Department of Biostatistics and Medical Informatics, Erciyes University, Faculty of Medicine, 38039, Kayseri -Turkey.

出版信息

Afr Health Sci. 2014 Dec;14(4):797-801. doi: 10.4314/ahs.v14i4.4.

Abstract

BACKGROUND

Brucellosis, a zoonotic infection, was most widely diagnosed by the Brucella standard serum agglutination test (SAT). No previous publication has demonstrated a correlation between the degree of Brucella SAT agglutination positivity and the severity of brucellosis infection.

OBJECTIVE

To contribute to the clarification of the relationship between patelets and brucellosis. It is also aimed at evaluating the usefulness of the SAT titer as a measure of brucellosis severity.

MATERIAL AND METHODS

We compared the control (n=60) and patients (n=96) groups in terms of mean platelet volume (MPV), C-reactive protein (CRP) and platelet values. Patients were grouped according to their degree of agglutination positivity titers and compared by means of CRP, MPV and platelet values. We also investigated the relationship among logarithmic values of MPV, platelet and CRP parameters for each group.

RESULTS

Although statistically meaningful difference was observed between control and patients group in terms of MPV and platelet value, there were no statistically significant differences observed among patients groups. The physiological negative correlation between MPV and platelet count was not encountered in group 2 and 3. Logarithmic values of CRP were not correlated with logarithmic values of MPV and platelet counts.

CONCLUSION

The MPV could be a new parameter to evaluate hematologic abnormalities in patients with brucellosis. The SAT titer was not a useful measure for evaluation of the severity of brucellosis.

摘要

背景

布鲁氏菌病是一种人畜共患感染病,最广泛使用的诊断方法是布鲁氏菌标准血清凝集试验(SAT)。此前尚无出版物证明布鲁氏菌SAT凝集阳性程度与布鲁氏菌病感染严重程度之间存在关联。

目的

有助于阐明血小板与布鲁氏菌病之间的关系。还旨在评估SAT滴度作为衡量布鲁氏菌病严重程度指标的有用性。

材料与方法

我们比较了对照组(n = 60)和患者组(n = 96)的平均血小板体积(MPV)、C反应蛋白(CRP)和血小板值。根据患者的凝集阳性滴度程度进行分组,并通过CRP、MPV和血小板值进行比较。我们还研究了每组MPV、血小板和CRP参数对数值之间的关系。

结果

虽然在MPV和血小板值方面,对照组和患者组之间观察到有统计学意义的差异,但患者组之间未观察到有统计学意义的差异。在第2组和第3组中未发现MPV与血小板计数之间存在生理负相关。CRP的对数值与MPV和血小板计数的对数值不相关。

结论

MPV可能是评估布鲁氏菌病患者血液学异常的一个新参数。SAT滴度不是评估布鲁氏菌病严重程度的有用指标。

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