Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
J Clin Lab Anal. 2021 Jun;35(6):e23808. doi: 10.1002/jcla.23808. Epub 2021 May 3.
Altered level of many hematological parameters such as white blood cells (WBC) and platelet function has been observed in diabetes mellitus (DM) patients. Therefore, this study aimed to determine the WBC and platelet profiles and their association with anthropometric measurement and blood pressure in DM patients and healthy controls.
A comparative cross-sectional study was conducted on a total of 246 participants at the University of Gondar Specialized Referral Hospital. Venous blood with K EDTA anticoagulant was drawn and analyzed by using Sysmex KX21N hematology analyzers for WBC and platelet parameters. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results were presented as frequency and mean ± standard deviation (SD). The independent sample t test was used to compare quantitative variables between DM and control groups. The bivariate (spearman's rank) correlation was used to analyze continuous variables. A p-value ˂ 0.05 was considered as statistically significant.
The mean platelet count was significantly higher among diabetics (252.77 ± 77.7) compared to non-diabetic controls (208.22 ± 68), p < 0.001. Similarly, the total WBC count was higher among DM patients (6.95 ± 2.23) than in the controls (6.15 ± 1.95), p = 0.04. A significant negative correlation was also found between neutrophil and duration of illness in DM patients. Besides, there is a significant positive correlation between WBC and lymphocyte number with systolic blood pressure (SBP) in DM patients.
Platelet and WBC count were significantly higher in DM patients than in the controls. Therefore, routine screening and profile checking of those abnormal indices is recommended to minimize DM-related complications.
糖尿病(DM)患者的许多血液学参数水平发生了改变,如白细胞(WBC)和血小板功能。因此,本研究旨在确定 DM 患者和健康对照者的 WBC 和血小板谱及其与人体测量和血压的关系。
在贡德尔大学专科医院共对 246 名参与者进行了一项横断面比较研究。用含 K EDTA 的静脉血,用 Sysmex KX21N 血液分析仪分析 WBC 和血小板参数。采用统计软件包(SPSS)版本 20 进行数据分析。结果以频率和均值 ± 标准差(SD)表示。采用独立样本 t 检验比较 DM 和对照组的定量变量。采用双变量(Spearman 秩)相关分析连续变量。p 值<0.05 被认为具有统计学意义。
与非糖尿病对照组(208.22 ± 68)相比,糖尿病患者的血小板计数(252.77 ± 77.7)明显更高,p<0.001。同样,DM 患者的总白细胞计数(6.95 ± 2.23)高于对照组(6.15 ± 1.95),p=0.04。DM 患者中性粒细胞与病程之间也存在显著负相关。此外,DM 患者的白细胞和淋巴细胞数量与收缩压(SBP)呈显著正相关。
DM 患者的血小板和白细胞计数明显高于对照组。因此,建议对这些异常指标进行常规筛查和检测,以最大限度地减少 DM 相关并发症。