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Could mean platelet volume predict developing of bronchopulmonary dysplasia in preterm infants with respiratory distress syndrome

支气管肺发育不良 医学 呼吸窘迫 平均血小板体积 儿科 新生儿重症监护室 内科学 产科 怀孕 血小板 胎龄 外科 遗传学 生物
作者
Shamsollah Nourripoor,Hamed Tabasizadeh,Abolfazl Afjehi,Raheb Ghorbani,Maryam Seifhashemi,Nooshin Masoudian
出处
期刊:Iranian Journal of Neonatology IJN [Mashhad University of Medical Sciences]
卷期号:4 (3): 35-41 被引量:5
标识
DOI:10.22038/ijn.2013.1752
摘要

Introduction: some studies have suggested correlation between MPV index and inflammatory diseases such as rheumatoid arthritis in adults. Though bronchopulmonary dysplasia is also an inflammatory disease which develops in preterm neonates with Respiratory distress syndrome, we decided to study the possible correlation between the mean platelet volume (MPV) and the occurrence of bronchopulmonary dysplasia (BPD) Subject & Methods: We reviewed the medical records of 280 infant with the diagnosis of RDS admitted to the neonatal intensive care unit of the Mahdieh obstetrics and gynecology Hospital of Tehran and Amir general Hospital of semnan from April 2008 to April 2012. Infants who have been expired before first month of life were excluded. Enrolled infants were divided into BPD and no-BPD groups (30 with and 250 without BPD). MPV was determined during first three days of life in all cases. Results: MPV measured during first three days of life was significantly( p=0.017) higher in the BPD than in the no-BPD group (10.8-0.96 versus 9.65-0.91 fL)but Platelet count at the same time were similar in the BPD and no-BPD groups, and MPV increment was associated with BPD development risk( (OR=1.6, 95%CI: 2.38-1.08, p=0.019) . Conclusion: We concluded that higher MPV in the first three days of life is a probable risk factor for the development of BPD in preterm infants with RDS. This might be attributed to the fact that high MPV could prone the neonate to inflammatory and oxidative lung damage. Keywords: oxidative lung damage; supplemental oxygen therapy; Neonatal intensive care unit; Preterm neonates; Platelet
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