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对北波美拉尼亚(波兰)多次和长期献血者的红细胞参数分析。

Analysis of Erythrocyte Parameters in Multiple and Long-Term Blood Donors from Northern Pomerania (Poland).

机构信息

Institute of Biology, Pomeranian University in Słupsk, Słupsk, Poland;,

Institute of Biology, Pomeranian University in Słupsk, Słupsk, Poland.

出版信息

Cell Physiol Biochem. 2024 Sep 14;58(5):491-509. doi: 10.33594/000000727.

Abstract

BACKGROUND/AIMS: Assessment of the levels of vital blood parameters in donors is essential to evaluate their health status, ensure their suitability for donation, preserve the integrity of the circulatory system, and facilitate comprehensive health monitoring. The aim of our study was to analyse the levels of haemoglobin, haematocrit, erythrocyte count, MCV, MCH, and MCHC in 12 groups of first-time donors and experienced donors of both sexes at the John Paul II Regional Blood Donation and Treatment Centre in Słupsk, northern Poland. The donors were divided into three age groups (18-30 years, 31-45 years, and 46-65 years).

METHODS

Using MANOVA multivariate significance tests, we examined the main effects of donor-related factors (age, sex, donor stage) on morphological blood parameters to evaluate different haematological parameters, such as Hb, Ht, RBC, MCV, MCH, and MCHC, and identified statistically significant relationships between all variables.

RESULTS

The multivariate analysis of these three main factors showed that the variation in haemoglobin (Hb) levels accounted for 46% of the explained dependence in this statistical model. In particular, approximately half of the variability in the multivariate statistical analysis was attributed to the role of Hb and haematocrit (Ht). In addition, the β-coefficient values for Hb and Ht were statistically higher in relation to donor sex and donor type (single versus repeat). These β-coefficient values from our data represent the strength and direction of the relationship between the haematological parameters (Hb and Ht) and the specific donor characteristics. A higher β-coefficient indicates a stronger influence of donor sex and donor type on these parameters, suggesting that these factors contribute significantly to the variation in the Hb and Ht levels. Based on our results, the comprehensive analysis of the entire statistical model of metabolic biomarkers revealed the following hierarchy: Hb > Ht > MCHC > MCV > RBC > MCH. The results obtained showed strong statistical relationships, as indicated by the high values of the key statistical indicators in our analysis. The coefficient of determination (R²) showed that the model explained a significant proportion of the variance in the data, while the F-test statistic confirmed the significance of the predictors.

CONCLUSION

These strong statistical dependencies provided a clear justification for selecting this model over others, as it effectively represented the underlying relationships within the data. These statistics help to assess how well the model matches the actual data, thereby helping to reduce the risks associated with blood donation, optimise donor safety, and maintain the quality and efficiency of blood transfusion services.

摘要

背景/目的:评估供体重要血液参数的水平对于评估其健康状况、确保其适合捐赠、保护循环系统的完整性以及促进全面健康监测至关重要。我们的研究目的是分析来自波兰北部什切青约翰·保罗二世地区献血和治疗中心的 12 组初次献血者和经验丰富献血者的血红蛋白、血细胞比容、红细胞计数、MCV、MCH 和 MCHC 水平。供体分为三组年龄(18-30 岁、31-45 岁和 46-65 岁)。

方法

使用 MANOVA 多变量显著性检验,我们检查了与供体相关的因素(年龄、性别、供体阶段)对形态学血液参数的主要影响,以评估不同的血液参数,如 Hb、Ht、RBC、MCV、MCH 和 MCHC,并确定所有变量之间的统计学显著关系。

结果

这三个主要因素的多元分析表明,血红蛋白(Hb)水平的变化解释了该统计模型中 46%的依赖性。特别是,多变量统计分析中约一半的可变性归因于 Hb 和血细胞比容(Ht)的作用。此外,Hb 和 Ht 的β系数值在供体性别和供体类型(单次与重复)方面具有统计学意义。我们数据中的这些β系数值代表了血液参数(Hb 和 Ht)与特定供体特征之间关系的强度和方向。较高的β系数表示供体性别和供体类型对这些参数的影响更大,这表明这些因素对 Hb 和 Ht 水平的变化有重要贡献。基于我们的结果,对代谢生物标志物整个统计模型的综合分析揭示了以下层次结构:Hb>Ht>MCHC>MCV>RBC>MCH。结果表明,统计指标值较高,说明存在很强的统计学关系。决定系数(R²)表明,该模型解释了数据中很大一部分方差,而 F 检验统计量则证实了预测因子的显著性。

结论

这些强大的统计依赖性为选择该模型而不是其他模型提供了明确的理由,因为它有效地表示了数据中潜在的关系。这些统计数据有助于评估模型与实际数据的拟合程度,从而有助于降低与献血相关的风险,优化供体安全性,并保持输血服务的质量和效率。

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