探索睡眠不足的动态变化:病例对照研究中全血计数和凝血参数的启示

Q3 Medicine Advances in Hematology Pub Date : 2024-04-18 DOI:10.1155/2024/1766578
Abd Elhadi Agena, Leena Mirghani, Abdirasak Sharif Ali Mude
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引用次数: 0

摘要

研究背景 苏丹此前缺乏相关研究,因此本研究的重要性不言而喻,它为全球了解睡眠对健康的影响提供了重要数据。本研究调查了睡眠不足与血液相关因素之间的复杂关系,尤其关注全血细胞计数和凝血参数。方法 2022 年 1 月至 3 月,在苏丹库斯提开展了一项病例对照研究。对照组由 11 名 23-33 岁的健康人组成(6 男 5 女),他们的睡眠模式都很规律。23-33 岁的男性 6 人,女性 5 人,被选中进行睡眠不足病例研究。病例组从晚上 7:00 到早上 7:00 连续三天被剥夺睡眠,白天正常睡眠。每天早上 7:00 抽取肘前静脉血。使用 ACL 7000 凝血分析仪和 Sysmex 全自动血液分析仪进行凝血和全血细胞计数分析。数据分析包括描述性和推论性方法,如用于组间比较的 Mann-Whitney U 检验。结果 研究发现,病例组和对照组的白细胞总数无明显差异(P=0.898)。病例组的淋巴细胞计数在第 3 天大幅下降(P=0.016)。第三天,中性粒细胞和嗜酸性粒细胞水平出现了明显差异(分别为 p=0.003 和 0.000)。第 3 天的血红蛋白和血细胞比容差异有统计学意义(p=0.023)。血小板计数稳定。两组的凝血酶原时间均未受影响。在所有三天中,两组的活化部分凝血活酶时间(APTT)均有显著差异(P=0.004)。因此,内在凝血系统可能发生了变化。结论 本研究表明,睡眠不足、凝血指标和全血细胞计数之间存在复杂的联系。监测睡眠不足时的血液指标有助于解释其基本机制和医学意义。
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Exploring the Dynamics of Sleep Deprivation: Insights into Complete Blood Count and Coagulation Parameters in a Case-Control Study
Background The lack of preceding research in Sudan emphasizes the importance of this study, which contributes critical data to the global understanding of sleep-related health effects. This study investigates the complex relationship between sleep deprivation and blood-related factors, particularly focusing on full blood count and coagulation parameters. Methods From January to March 2022, a case-control study was conducted in Kosti, Sudan. A control group of 11 healthy 23–33-year-olds (6 men and 5 women) had regular sleep patterns. Six men and five women ages 23–33 were chosen for this sleep-deprived case study. The case group was deprived of sleep from 7:00 p.m. to 7:00 a.m. for three days and allowed to sleep normally during the day. Daily at 7:00 a.m., antecubital vein blood was drawn. The ACL 7000 coagulation analyzer and Sysmex fully automated hematology analyzers were used for coagulation and whole blood count analysis. Data analysis included descriptive and inferential approaches like the Mann–Whitney U test for group comparisons. Results The study found no significant differences in total white blood cell counts reported between case and control groups (p=0.898). The case group had a substantial drop in lymphocyte counts on day 3 (p=0.016). The third day showed significant differences in neutrophil and eosinophil levels (p=0.003 and 0.000, respectively). The difference in hemoglobin and hematocrit on day 3 was statistically significant (p=0.023). Platelet counts were stable. Both groups' prothrombin times were unaffected. On all three days, groups had significant differences in activated partial thromboplastin time (APTT) (p=0.004). Therefore, the intrinsic coagulation system may have changed. Conclusion This study demonstrates the complex link between sleep deprivation, coagulation indicators, and complete blood count. Monitoring blood indicators in poor sleep helps explain fundamental mechanisms and medicinal implications.
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来源期刊
Advances in Hematology
Advances in Hematology Medicine-Hematology
CiteScore
3.30
自引率
0.00%
发文量
10
审稿时长
15 weeks
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