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健康血小板单采供者血小板总数变化的决定因素

Determinants of Variable Total Platelet Count in Healthy Plateletpheresis Donor.

作者信息

Prakash Satya, Sahu Ansuman, Mishra Debasish, Datta Namrata, Mukherjee Somnath

机构信息

Department of Transfusion Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha India.

出版信息

Indian J Hematol Blood Transfus. 2024 Jul;40(3):448-453. doi: 10.1007/s12288-023-01721-7. Epub 2023 Dec 29.

Abstract

The platelet count in a healthy individual varies between 150 and 450 × 10/L. This study explores the factors affecting this variation in platelet count in healthy blood donors selected for platelet donation. This retrospective study comprises an analysis of platelet donor data between the year 2016-2022. The pre-recorded donor details such as age, gender, blood group, body mass index (BMI), and complete blood counts were collected and analyzed using the software 'R' (version 4.1.0). The statistical analysis consists of a test of normalcy followed by descriptive details and advanced statistics such as correlation and regression analysis to predict the variables affecting platelet count. The -value of less than 0.05 was taken as significant. The median (IQR) of hemoglobin, platelet count, and total leucocyte count (TLC) was 142(135-150) g/L, 239(204-285) × 10/L, and 7.6(6.4-8.8) × 10/L, respectively. The platelet count was positively correlated with TLC ( = 0.000) and negatively with the age of the platelet donor ( = 0.001). The Kruskal-Wallis test detected significant differences in the platelet count among the ABO blood group ( = 0.008). Further, regression analysis confirms the independent positive association of total platelet count with the total leucocyte count ( = 0.000) and the negative association of platelet count with age ( = 0.004). This study concludes the strong dependency of total platelet count with total leucocyte count, age, and blood group.

摘要

健康个体的血小板计数在150至450×10⁹/L之间变化。本研究探讨了影响选定进行血小板捐献的健康献血者血小板计数这种变化的因素。这项回顾性研究包括对2016年至2022年期间血小板捐献者数据的分析。收集预先记录的捐献者详细信息,如年龄、性别、血型、体重指数(BMI)和全血细胞计数,并使用软件“R”(版本4.1.0)进行分析。统计分析包括正态性检验,随后是描述性细节以及相关性和回归分析等高级统计,以预测影响血小板计数的变量。P值小于0.05被视为具有显著性。血红蛋白、血小板计数和总白细胞计数(TLC)的中位数(四分位间距)分别为142(135 - 150)g/L、239(204 - 285)×10⁹/L和7.6(6.4 - 8.8)×10⁹/L。血小板计数与TLC呈正相关(P = 0.000),与血小板捐献者年龄呈负相关(P = 0.001)。Kruskal - Wallis检验检测到ABO血型之间血小板计数存在显著差异(P = 0.008)。此外,回归分析证实总血小板计数与总白细胞计数呈独立正相关(P = 0.000),与血小板计数与年龄呈负相关(P = 0.004)。本研究得出结论,总血小板计数强烈依赖于总白细胞计数、年龄和血型。

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