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新生儿脐带血全血细胞计数的参考区间及其与静脉血值的比较。

Reference intervals for complete blood count from Umbilical Cord Blood in newborns and comparison with Venous Blood Values.

作者信息

Gunduz Mehmet, Temel Hayrettin

机构信息

Dr. Mehmet Gunduz, M.D. Assistant Professor, Istanbul Medipol University School of Medicine, Department of Pediatrics, Medipol Sefaköy Hospital, Sefaköy, Istanbul, Turkey.

Dr. Hayrettin Temel, M.D. Assistant Professor, Istanbul Medipol University School of Medicine, Department of Pediatrics, Medipol Mega Hospital Complex, Bağcılar, Istanbul, Turkey.

出版信息

Pak J Med Sci. 2021 Mar-Apr;37(2):439-444. doi: 10.12669/pjms.37.2.2526.

Abstract

BACKGROUND AND OBJECTIVE

Umbilical cord blood which can be obtained by a non-invasive method can be informative about the clinical status of the newborn. It was aimed to establish reference intervals for umbilical cord blood parameters, and to compare complete blood count results between umbilical cord and venous blood samples in this study.

METHODS

This study was conducted at Medipol University Sefaköy Hospital, Department of Pediatrics, Istanbul, Turkey. A total of 1898 newborns who were born in a two-year period between January 2018 and December 2019 were included in the study. Venous blood samples were taken from 184 of them, and umbilical cord blood samples were taken from 1714 newborns.

RESULTS

The percentiles were determined according to gender and delivery method for the hematological parameters of umbilical cord blood. While mean platelet, eosinophil and mean corpuscular volume values were similar between the groups (p>0.05 for each), and significant differences were found between the groups in terms of all other mean hematological parameters (p<0.05 for each).

CONCLUSION

The results of the complete blood count of umbilical cord blood samples can provide reliable information about the newborn. There are significant differences between umbilical cord and venous blood samples in terms of hematological parameters. For these reasons, it is necessary to determine reliable value ranges for umbilical cord blood hematological parameters in newborns. Data of our study can be a guide for further studies and clinicians.

摘要

背景与目的

可通过非侵入性方法获取的脐带血能够反映新生儿的临床状况。本研究旨在建立脐带血参数的参考区间,并比较脐带血与静脉血样本的全血细胞计数结果。

方法

本研究在土耳其伊斯坦布尔梅迪波尔大学塞法科伊医院儿科进行。纳入了2018年1月至2019年12月两年间出生的1898例新生儿。其中184例采集了静脉血样本,1714例新生儿采集了脐带血样本。

结果

根据性别和分娩方式确定了脐带血血液学参数的百分位数。各组间平均血小板、嗜酸性粒细胞和平均红细胞体积值相似(每组p>0.05),但在所有其他平均血液学参数方面,各组间存在显著差异(每组p<0.05)。

结论

脐带血样本的全血细胞计数结果可为新生儿提供可靠信息。脐带血与静脉血样本在血液学参数方面存在显著差异。因此,有必要确定新生儿脐带血血液学参数的可靠值范围。本研究数据可为进一步研究和临床医生提供指导。

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