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也门伊卜市糖尿病与非糖尿病个体血液中血液学指标的病例对照研究。

A case-control study to evaluate hematological indices in blood of diabetic and non-diabetic individuals in Ibb City, Yemen.

机构信息

Medical Laboratories Department, Faculty of Medicine and Health Sciences, Ibb University, Ibb City, Yemen.

Department of Medical Laboratories, Faculty of Medical Sciences, Aljazeera University, Ibb City, Yemen.

出版信息

Sci Rep. 2023 Oct 4;13(1):16730. doi: 10.1038/s41598-023-43973-3.

Abstract

Diabetes mellitus (DM) is a chronic, metabolic illness characterized by an elevation of blood sugar levels. Patients with diabetes show changes in hematological indices. The study aimed to determine hematological indices, ESR, CRP, blood pressure (BP), and weight and their relationship with a fasting blood sugar (FBS) level and different variables in diabetic mellitus patients (DM) compared with healthy control (HC). A total of 202 participants (102 DM group and 100 HC group) were selected randomly. Data were collected using a questionnaire. Blood samples were collected from different places and investigated in Zain Medical Laboratories in Ibb City, Yemen (September 2022 to May 2023). GraphPad Prim was used to analyze the results. P-value ≤ 0.05 was considered statistically significant. The mean and standard deviation of age, weight, gender, residence, marital status, education levels, economic status, regular exercise, following a strict diet, and family history of diabetes revealed significant differences between DM and HC groups (P < 0.0001, P = 0001, P = 0.0027, P = 0.0002, P < 0.0001, P < 0.0001, P = 0.0002, P = 0.0011, P < 0.0001 and P = 0.0001, respectively). FBS results, systolic and diastolic BP, MCV, WBCs, monocytes, eosinophils, and platelets displayed significant differences between both groups (P < 0.0001, P < 0.0001 and P = 0.0404, P = 0.0191, P < 0.0001, P = 0.0253, P < 0.0001, and P = 0.0229, respectively). ESR exhibited statistical significance (P < 0.0001), while CRP displayed no significance. A Pearson's correlation showed that weight, Hb, RBCs, PCV, and WBCs were statistically negatively correlated with FBS whereas other hematological indices showed no correlation with FBS. In conclusion, DM patients had relatively higher levels of MCV, WBCs, eosinophils, platelets and ESR than the control group.

摘要

糖尿病(DM)是一种以血糖升高为特征的慢性代谢性疾病。糖尿病患者表现出血象指标的变化。本研究旨在确定与健康对照组(HC)相比,糖尿病患者(DM)的血液学指标、红细胞沉降率(ESR)、C 反应蛋白(CRP)、血压(BP)和体重及其与空腹血糖(FBS)水平和不同变量的关系。共随机选择 202 名参与者(DM 组 102 名,HC 组 100 名)。使用问卷收集数据。从不同地方采集血样,并在也门伊卜市的 Zain 医学实验室进行检测(2022 年 9 月至 2023 年 5 月)。使用 GraphPad Prim 分析结果。P 值≤0.05 被认为具有统计学意义。DM 和 HC 组之间年龄、体重、性别、居住地、婚姻状况、教育水平、经济状况、定期运动、严格饮食和糖尿病家族史的均值和标准差差异有统计学意义(P < 0.0001、P = 0001、P = 0.0027、P = 0.0002、P < 0.0001、P < 0.0001、P = 0.0002、P = 0.0011、P < 0.0001 和 P = 0.0001)。两组之间 FBS 结果、收缩压和舒张压、MCV、白细胞计数、单核细胞、嗜酸性粒细胞和血小板存在显著差异(P < 0.0001、P < 0.0001 和 P = 0.0404、P = 0.0191、P < 0.0001、P = 0.0253、P < 0.0001、P < 0.0001 和 P = 0.0229)。ESR 具有统计学意义(P < 0.0001),而 CRP 无统计学意义。Pearson 相关性分析表明,体重、Hb、RBCs、PCV 和白细胞计数与 FBS 呈统计学负相关,而其他血液学指标与 FBS 无相关性。结论:与对照组相比,DM 患者的 MCV、白细胞计数、嗜酸性粒细胞、血小板和 ESR 水平相对较高。

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