A Comparative Study of Mean Platelet Volume in Diabetic Population With and Without Vascular Complication

Ajantha Swamy Vasudhevan, Dhivya Mohan Sumathi, Ashwath Kumar Chinnaraju Selvakumar, Rajabalaji Rajabalaji
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Abstract

Diabetes mellitus leads to long-term complications involving multiple organs and systems of the human body. Among the list of complications, a relatively vascular complication increases the morbidity of the condition. Patients with diabetes mellitus are influenced by various factors like hyperglycaemic state, insulin resistance, oxidative stress, and metabolic condition like obesity, and all the mentioned conditions also present with platelet hyperactivity.  Mean platelet volume (MPV) can be used as one of the laboratory parameters to know the function and activation of the platelets, which reflects the vascular profile of the patient. So, the present study compares the values of mean platelet volume among the diabetic groups to determine the relation between the vascular complication and the mean platelet volume. This study was conducted with 90 participants, who were divided into three groups. Group A  is non-diabetics, group B is type 2 Diabetics, and Group C is type 2 Diabetics with vascular complications and MPV.  On analyzing the statistical mean value of mean platelet volume, group B's (type 2 diabetics) value was higher than group A's (non-diabetics) and statistically significant with a p – value of 0.001. Similarly, the mean value of group C (type 2 diabetes with complications) was higher than group B (type 2 diabetics) and statistically significant with a p – value of 0.049 in the diabetics with and without vascular complications. On comparing the MPV of different study groups, the MPV is higher in the diabetic group with complicatiosn compared with the diabetics without complications.
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有与无血管并发症的糖尿病人群平均血小板体积的比较研究
糖尿病会导致涉及人体多个器官和系统的长期并发症。在并发症列表中,相对的血管并发症增加了病情的发病率。糖尿病患者受多种因素的影响,如高血糖状态、胰岛素抵抗、氧化应激以及肥胖等代谢状况,而上述所有情况均伴有血小板高活性。平均血小板体积(Mean platelet volume, MPV)可作为了解血小板功能和活化情况的实验室参数之一,反映了患者的血管状况。因此,本研究比较糖尿病组平均血小板体积的值,以确定血管并发症与平均血小板体积的关系。这项研究有90名参与者,他们被分为三组。A组为非糖尿病患者,B组为2型糖尿病患者,C组为伴有血管并发症和MPV的2型糖尿病患者。分析平均血小板体积的统计平均值,B组(2型糖尿病)高于A组(非糖尿病),p值为0.001,差异有统计学意义。同样,C组(2型糖尿病合并并发症)的平均值高于B组(2型糖尿病合并并发症),有血管并发症和无血管并发症的糖尿病患者的p值均为0.049,差异有统计学意义。在比较不同研究组的MPV时,有并发症的糖尿病组MPV高于无并发症的糖尿病组。
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