Department of Ophthalmology, Süleyman Demirel University, Faculty of Medicine, Isparta, Turkey.
Int J Clin Pract. 2022 Jan 31;2022:7518533. doi: 10.1155/2022/7518533. eCollection 2022.
To investigate the role of thrombocyte parameters in retinopathy of prematurity (ROP) development.
This retrospective study included 120 preterm infants in total. Group 1 was formed by infants who developed type-1 ROP and received treatment. Group 2 was formed by infants who developed ROP and were not treated for ROP. Infants who did not develop ROP and whose retinal vascularization was completed in their follow-up formed Group 3. Gestational age, birth weight, and genders of groups were recorded. Platelet (PLT) count, mean platelet volume (MPV), and platelet distribution width (PDW) values were obtained from complete blood count. Platelet mass index (PMI) was calculated by multiplying the PLT count by MPV value. Thrombocytopenia was defined as PLT count <150 × 1000/L. All parameters were compared between the groups.
There were 40 preterm infants in each group. The mean PLT count was 272.43 ± 122.67 in Group 1, 333.32 ± 133.06 in Group 2, and 310.03 ± 119.41 in Group 3. The difference in PLT count between the groups was not significant (=0.094). Thrombocytopenia was observed in 25% of Group 1, 10% of Group 2, and 10% of Group 3 (=0.095). No statistically significant difference was found in terms of MPV, PDW, and PMI values between the groups (=0.102, =0.097, and =0.298, respectively).
Although PLT count was lower and thrombocytopenia rate was higher in the type-1 ROP group, the differences were not found to be significant. Further prospective studies are required to evaluate the role of thrombocytes in ROP pathogenesis.
研究血小板参数在早产儿视网膜病变(ROP)发展中的作用。
本回顾性研究共纳入 120 例早产儿。1 型 ROP 并接受治疗的患儿归入第 1 组,ROP 但未治疗的患儿归入第 2 组,ROP 未发生且随访中视网膜血管化完成的患儿归入第 3 组。记录各组的胎龄、出生体重和性别。从全血细胞计数中获取血小板(PLT)计数、平均血小板体积(MPV)和血小板分布宽度(PDW)值。血小板质量指数(PMI)通过将 PLT 计数乘以 MPV 值计算得出。PLT 计数<150×1000/L 定义为血小板减少症。比较各组间所有参数。
每组各有 40 例早产儿。第 1 组 PLT 计数的平均值为 272.43±122.67,第 2 组为 333.32±133.06,第 3 组为 310.03±119.41。组间 PLT 计数差异无统计学意义(=0.094)。第 1 组血小板减少症发生率为 25%,第 2 组为 10%,第 3 组为 10%(=0.095)。组间 MPV、PDW 和 PMI 值无统计学差异(分别为=0.102、=0.097 和=0.298)。
1 型 ROP 组 PLT 计数较低且血小板减少症发生率较高,但差异无统计学意义。需要进一步的前瞻性研究来评估血小板在 ROP 发病机制中的作用。