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血小板计数与早产儿视网膜病变:一项系统评价和荟萃分析

Platelet count and retinopathy of prematurity, a systematic review and meta-analysis.

作者信息

Zeng Qian, Wang Ling, Li Yurong, Yue Yuanyuan, Lv Xin

机构信息

Clinical Laboratory, Children's Hospital Affiliated to Shandong University, Jinan, China.

Clinical Laboratory, Jinan Children's Hospital, Jinan, China.

出版信息

Front Pediatr. 2025 Jan 14;12:1413271. doi: 10.3389/fped.2024.1413271. eCollection 2024.

DOI:10.3389/fped.2024.1413271
PMID:39877337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11772428/
Abstract

OBJECTIVE

This study aims to investigate the relationship between platelet count (PLT) and retinopathy of prematurity (ROP), with the goal of identifying a straightforward screening method for the early detection of ROP.

METHODS

A systematic search was conducted in PubMed, EMBASE, Web of Science, Cochrane Library, and ClinicalTrials.gov from January 2005 to 26 September 2023. Subsequently, a subgroup analysis was performed.

RESULTS

This meta-analysis included ten studies involving 1762 neonates, with 747 cases of ROP identified. The pooled analysis indicated a significant decrease in mean platelet count among the ROP group compared to the non-ROP group (mean difference: -18.65, 95% confidence interval: -22.80 to -14.50,  < .00001). Subgroup analysis indicated that the heterogeneity in the results can be attributed to factors such as the location of the studies, gestational age (GA), and publication time.

CONCLUSION

Decreased PLT counts may be associated with the occurrence of ROP. The PLT count should be standardized according to the detection location, detection time and GA.

摘要

目的

本研究旨在探讨血小板计数(PLT)与早产儿视网膜病变(ROP)之间的关系,以确定一种简单的筛查方法用于ROP的早期检测。

方法

于2005年1月至2023年9月26日在PubMed、EMBASE、Web of Science、Cochrane图书馆和ClinicalTrials.gov进行了系统检索。随后进行了亚组分析。

结果

该荟萃分析纳入了10项研究,涉及1762例新生儿,其中确诊ROP 747例。汇总分析表明,与非ROP组相比,ROP组的平均血小板计数显著降低(平均差值:-18.65,95%置信区间:-22.80至-14.50,P<0.00001)。亚组分析表明,结果的异质性可归因于研究地点、胎龄(GA)和发表时间等因素。

结论

血小板计数降低可能与ROP的发生有关。应根据检测地点、检测时间和GA对血小板计数进行标准化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/33df9412190a/fped-12-1413271-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/6017ebaec3fa/fped-12-1413271-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/140fc8236044/fped-12-1413271-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/6e755ac50eb4/fped-12-1413271-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/b40269603c6e/fped-12-1413271-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/33df9412190a/fped-12-1413271-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/6017ebaec3fa/fped-12-1413271-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/8b3c4aa979e2/fped-12-1413271-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/140fc8236044/fped-12-1413271-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/7bf495bae7f5/fped-12-1413271-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/6e755ac50eb4/fped-12-1413271-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/b40269603c6e/fped-12-1413271-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e1/11772428/33df9412190a/fped-12-1413271-g007.jpg

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本文引用的文献

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Int Ophthalmol. 2023 Sep;43(9):3345-3353. doi: 10.1007/s10792-023-02740-z. Epub 2023 Jun 6.
2
Complete blood count parameters as biomarkers of retinopathy of prematurity: a Portuguese multicenter study.全血细胞计数参数作为早产儿视网膜病变的生物标志物:一项葡萄牙多中心研究。
Graefes Arch Clin Exp Ophthalmol. 2023 Oct;261(10):2997-3006. doi: 10.1007/s00417-023-06072-7. Epub 2023 May 2.
3
Assessment of Role of Platelet Indices in the Occurrence of Retinopathy of Prematurity.
评估血小板指标在早产儿视网膜病变发生中的作用。
Middle East Afr J Ophthalmol. 2023 Feb 24;29(2):91-95. doi: 10.4103/meajo.meajo_246_21. eCollection 2022 Apr-Jun.
4
Hematologic Risk Factors for the Development of Retinopathy of Prematurity-A Retrospective Study.早产儿视网膜病变发生的血液学危险因素——一项回顾性研究
Children (Basel). 2023 Mar 16;10(3):567. doi: 10.3390/children10030567.
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