Department of Internal Medicine, Ankara Education and Research Hospital, Ankara, Turkey.
Department of Internal Medicine, Kafkas University, Kars, Turkey.
Turk J Med Sci. 2016 Nov 17;46(5):1292-1299. doi: 10.3906/sag-1410-95.
BACKGROUND/AIM: Patients with diabetes mellitus have an increased risk of developing micro- and macrovascular complications. Retinopathy is one of the most important complications of diabetes whose pathophysiological cause has not yet been determined. One candidate may be platelet volume. In this study we aimed to investigate the association between mean platelet volume and diabetic retinopathy.
Mean platelet volume levels were investigated in type 2 diabetic patients with and without retinopathy, and in healthy participants. After reclassifying our diabetics in terms of the presence or absence of hypertension and hyperlipidemia, we compared their mean platelet volumes. We then checked to see if the mean platelet volume correlated with hemoglobin A1c and body mass index.
The mean platelet volume levels were higher in all diabetic patients, and they were highest in diabetics with retinopathy. The mean platelet volume levels were not different in diabetic patients with and without hypertension or hyperlipidemia. Moreover, the mean platelet volume levels did not correlate with hemoglobin A1c or body mass index.
We think that platelets may play a role in diabetic retinopathy. We can also say that, in diabetic patients, hypertension, hyperlipemia, obesity, and control of diabetes were not related to mean platelet volume.
背景/目的:糖尿病患者发生微血管和大血管并发症的风险增加。视网膜病变是糖尿病最重要的并发症之一,其病理生理原因尚未确定。血小板体积可能是原因之一。本研究旨在探讨平均血小板体积与糖尿病视网膜病变之间的关系。
检测了有或无视网膜病变的 2 型糖尿病患者以及健康参与者的平均血小板体积水平。在根据是否存在高血压和高血脂对我们的糖尿病患者进行重新分类后,我们比较了他们的平均血小板体积。然后,我们检查了平均血小板体积是否与糖化血红蛋白和体重指数相关。
所有糖尿病患者的平均血小板体积水平均升高,且伴有视网膜病变的糖尿病患者中水平最高。有高血压或高血脂的糖尿病患者的平均血小板体积水平无差异。此外,平均血小板体积水平与糖化血红蛋白或体重指数无关。
我们认为血小板可能在糖尿病视网膜病变中起作用。我们还可以说,在糖尿病患者中,高血压、高脂血症、肥胖症以及糖尿病的控制与平均血小板体积无关。