Kefeli Ayse, Basyigit Sebahat, Özgür Yeniova Abdullah, Küçükazman Metin, Nazligül Yasar, Aktas Bora
Department of Gastroenterology, Kegibren Education and Research Hospital, Ankara, Turkey.
Department of Gastroenterology, Sinop State Hospital, Sinop, Turkey.
Euroasian J Hepatogastroenterol. 2014 Jul-Dec;4(2):67-69. doi: 10.5005/ip-journals-10018-1104. Epub 2014 Jul 28.
Acute pancreatitis (AP) is an inflammatory disorder, the incidence of which has been increasing over recent years. Mean platelet volume (MPV) is an index of platelet activation and influenced by inflammation. The objective of the present study is to assess whether MPV would be convenient parameters for predictor factor of patients with AP.
A total of 140 AP patients (male/female: 63/77) and 70 healthy subjects (male/female: 23/47) were enrolled in this study. The following data were extracted from the hospital medical records, including age, sex, platelet count, MPV, were recorded at the time of admission and as well as at the 1st day of remission of the disease.
Mean platelet volume levels at onset and remission of AP were 7.8 ± 1.6 and 7.7 ± 0.9 respectively, and there was no statistically significant difference between these groups. Platelet count at onset and remission of AP and control subjects was 203 ± 74 × 10/μl, 234 ± 76 × 10/μl and 251 ± 87 × 10/μl, respectively, and there was statistically significant difference between these groups. Platelet count at onset and remission of AP was statistically lower than control subjects.
Some studies in literature suggest that MPV might be a useful parameter to be used as an indicator for AP and a prognostic factor for AP, but, in this study, it was revealed that MPV values do not change at AP compared with controls. Therefore, further prospective studies investigating the factors affecting the platelet size are required to determine whether MPV has a clinical implication and for predictor value of patients with AP. Kefeli A, Basyigit S, Yeniova AÖ, Küçükazman M, Nazligul Y, Aktas B. Platelet Number and Indexes during Acute Pancreatitis. Euroasian J Hepato-Gastroenterol 2014;4(2):67-69.
急性胰腺炎(AP)是一种炎症性疾病,近年来其发病率一直在上升。平均血小板体积(MPV)是血小板活化的一个指标,受炎症影响。本研究的目的是评估MPV是否为AP患者预测因素的便利参数。
本研究共纳入140例AP患者(男/女:63/77)和70例健康受试者(男/女:23/47)。从医院病历中提取以下数据,包括年龄、性别、血小板计数、MPV,在入院时以及疾病缓解第1天进行记录。
AP发病时和缓解时的平均血小板体积水平分别为7.8±1.6和7.7±0.9,两组之间无统计学显著差异。AP发病时和缓解时以及对照组受试者的血小板计数分别为203±74×10/μl、234±76×10/μl和251±87×10/μl,这些组之间存在统计学显著差异。AP发病时和缓解时的血小板计数在统计学上低于对照组受试者。
文献中的一些研究表明,MPV可能是用作AP指标的有用参数以及AP的预后因素,但在本研究中发现,与对照组相比,AP时MPV值没有变化。因此,需要进一步进行前瞻性研究以调查影响血小板大小的因素,从而确定MPV是否具有临床意义以及对AP患者的预测价值。凯费利A、巴西伊吉特S、耶尼奥娃AÖ、屈奇卡兹曼M、纳兹利古尔Y、阿克塔斯B。急性胰腺炎期间的血小板数量和指标。《欧亚肝脏胃肠病学杂志》2014年;4(2):67 - 69。