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血小板指标与糖尿病犬血糖状态的关系。

Association of platelet indices with glycemic status in diabetic dogs.

机构信息

School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

J Vet Diagn Invest. 2022 Jul;34(4):742-745. doi: 10.1177/10406387221101347. Epub 2022 Jun 2.

Abstract

We investigated the platelet count (PLT), mean platelet volume (MPV), and plateletcrit (PCT) in dogs with type 1 diabetes mellitus (DM) compared to healthy controls, and their association with the major fraction of glycated hemoglobin (HbA1c). Blood samples from 33 clinically healthy dogs and 14 newly diagnosed diabetic dogs were included. CBCs were performed with the Advia 120; HbA1c was determined using a validated assay (Capillarys 2 flex-piercing; Sebia). Median [range] PLT and PCT were significantly higher ( = 0.040 and  = 0.010, respectively) in diabetic dogs (434 [176-987] × 10/L and 0.60 [0.26-1.22]%, respectively) compared to healthy dogs (297 [223-671] × 10/L and 0.35 [0.24-0.87]%, respectively]. Thrombocytosis was observed in 6 of 14 (43%) diabetic dogs. The median MPV was not significantly different ( = 0.114) between the diabetic (13.6 fL, 10.1-22.6 fL) and healthy dogs (11.9 fL, 8.6-19.1 fL). A significant, albeit weak, correlation was detected between HbA1c and PLT (rho = 0.298,  = 0.042) and PCT (rho = 0.340,  = 0.019), but no significant correlation was found with MPV (rho = 0.199,  = 0.180). Canine DM was associated with increased PLT and PCT, which was correlated with glycemic status. Our findings suggest dysregulated megakaryopoiesis in diabetic dogs, but this should be confirmed by large-scale studies, and the clinical implications should be investigated.

摘要

我们研究了 14 只新诊断为糖尿病的犬与 33 只临床健康犬的血小板计数(PLT)、平均血小板体积(MPV)和血小板压积(PCT),并探讨了它们与糖化血红蛋白(HbA1c)主要分数的关系。采集了血液样本,使用 Advia 120 进行全血细胞计数(CBC),使用经过验证的检测方法(Capillarys 2 flex-piercing;Sebia)测定 HbA1c。糖尿病犬的 PLT 和 PCT 中位数[范围]显著升高(=0.040 和=0.010,分别)(434[176-987]×10/L 和 0.60[0.26-1.22]%,分别),与健康犬(297[223-671]×10/L 和 0.35[0.24-0.87]%,分别)相比。14 只糖尿病犬中有 6 只(43%)出现血小板增多症。糖尿病犬的 MPV 中位数(=0.114)与健康犬无显著差异(13.6 fL,10.1-22.6 fL)。HbA1c 与 PLT(rho=0.298,=0.042)和 PCT(rho=0.340,=0.019)呈显著弱相关,但与 MPV 无显著相关(rho=0.199,=0.180)。犬糖尿病与 PLT 和 PCT 增加相关,且与血糖状态相关。我们的研究结果表明,糖尿病犬存在巨核细胞生成失调,但这需要通过大规模研究来证实,还应研究其临床意义。

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Association of platelet indices with glycemic status in diabetic dogs.血小板指标与糖尿病犬血糖状态的关系。
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Thrombocytosis in 715 Dogs (2011-2015).715只犬的血小板增多症(2011 - 2015年)
J Vet Intern Med. 2017 Nov;31(6):1691-1699. doi: 10.1111/jvim.14831. Epub 2017 Sep 12.
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Mean platelet volume in Type 2 diabetes mellitus.2型糖尿病中的平均血小板体积
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Platelet abnormalities in diabetes mellitus.糖尿病患者的血小板异常。
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