ÇOCUKLARDAKİ BELL’S PALSY DE NÖTROFİL/ LENFOSİT ORANI, PLATELET/LENFOSİT ORANI VE ORTALAMA TROMBOSİT HACMİNİN DEĞERLENDİRİLMESİ

Amaç: Bu çalışmanın amacı etyololojisi halen tam olarak bilinmeyen Bell’s Palsy de inflmasyon belirteciolan Nötrofi/Lenfosit oranı (NLO), Platelet/Lenfosit oranı (PLO) ve Ortalama Platelet Hacminin (OTH) nasıldeğişim gösterdiğini araştımak ve çocuklardaki Bell’s Palsy de inflmasyonun olası etkisini araştımaktı.Gereç ve Yöntem: Bu retrospekti çalışmaya hastanemizde Ocak 2010 ile Mayıs 2018 tarihleri arasında Bell’sPalsy tanısı alarak tedavisi ve takibi yapılmış 27 çocuk hasta ile 25 sağlıklı birey dahil edilmişti. Hastalarıntedaviden önceki ve sonraki Bell’s Palsy lerinin klinik derecelendirilmesinde House–Brackmann sınıflmasıkullanılmıştı. Bu çalışmada hastaların tedaviden önce ruti olarak yapılmış hemogram tetkiklerinden NLO,PLO ve OTH değerlerinin ortalamaları ve kontrol grubunun bu ortalama değerleri karşılaştıılmıştı.Bulgular: Bell’s Palsy grubundaki çocukların ortalama yaşları 9,76±3,71 iken kontrol grubunda ortalama yaş9,48±3,54 idi. Bell’s Palsy grubundaki hastaların 15 i kadın 12 si erkek iken kontrol grubundaki hastaların 14ü kadın 11 i erkekti Tedaviden önceki NLO değeri Bell’s Palsy grubunda 2,71±1,53 iken kontrol grubunda1,51±1,27 bulundu. Bell’s Palsy grubunda NLO değeri kontrol grubuna göre istatisel olarak anlamlı düzeydeyüksekt (p0,05). OTH değerleriaçısından da iki grup arasında istatitisel fark izlenmedi (p>0,05).Sonuç: Çalışmamız daki Bell’s Palsyli çocuklarda NLO nun kontrol grubuna göre anlamlı düzeyde artıı çocuklardaki Bell’s Palsy de inflmatuar teoriyi desteklemektedir. Çocuklarda Bell’s Palsy de ise PLO ve OTH ilkkez tanımlanmıştı.

Evaluatin of Neutrophil/Lymphocyte(NLR), Platelet/ Lymphocyte ratis(PLR) and Mean Platelet Volume(MPV) in Bell’s Palsy of children

Objectie: The aim of this study is to investiate how Neutrophil/Lymphocyte (NLR), Platelet/Lymphocyte ratis (PLR) and Mean Platelet Volume(MPV) which are indicators of inflmmatin show change, and likely effcts of inflmmatin in etilogy of Bell’s Palsy which is not put forth totally yet. Materials and Methods: This retrospectie case controlled study included 27 pediatric patint diagnosed as Bell’s Palsy, treated and followed between january 2010 and may 2018 and 25 healthy children in our hospital. House–Brackmann classifiatin was used in Bell’s Palsy graduatin before and aftr their treatment. In this study, mean values of Neutrophil counts, Lymphocyte counts, Platelet counts, Neutrophil/ Lymphocyte , Platelet/Lymphocyte ratis and Mean Platelet Volumes were compared in complete blood count samples drawn for rutie assays of patint and controls. Results: While the mean age in patint group was 9,76±3,71, in control group it was 9,48±3,54. Patint group consisted of 12 male and 15 female patins and controls included 11 male and 14 female. Before the treatment NLR was 2,71±1,53 in patints and ,1,51±1,27 in control group. In patint group the NLR was statitially signifiantly higher than that of control (p0,05). Conclusion: In Bell’s Palsy of children, the PLR and MPV were identiid for the fist tie by our study and statitially signifiantly increased levels of NLR in patints comparing controls supports inflmmatory theory as well

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