Çocuklarda Kekemelik ve Hematolojik Parametreler Arasında İlişki Var mı?

Amaç: Çalışmamızın amacı pediatrik yaş grubunda kekemelik sorunu olanlarda hematolojik parametreler ve özellikle Ortalama Trombosit Hacim(MPV) değerlerini değerlendirmektir. Materyal- Metod: Çalışmada 55 kekeme hastası ve 100 kişilik kontrol grubu mevcuttur. Hasta kabulünü takiben hastalardan alınan EDTA’lı kan örnekleri otomatik hematoloji analizörü ile analiz edilerek MPV, Beyaz Kan hücreleri, Platelet, Nötrofil, Lenfosit, Nötrofil/Lenfosit Oranı (NLO),Trombosit/Lenfosit Oranı(TLO) ve Sistemik İmmun inflamasyon indeksi(SII) değerleri ölçüldü. Bulgular: kekeme grubunun ortalama yaşı 8.93±3.87, kontrol grubunun ise 8.73±3.21 idi. kekemelik sorunu olan hastalarda MPV, Beyaz kan hücre sayısı, Trombosit, Nötrofil, Lenfosit, TLO ve SII istatistiksel açıdan anlamlı yüksek idi. Sonuç: Bu çalışmada kekemelik sorunu olan çocuklarda Hematolojik parametreler ve özellikle MPV değeri yüksek bulundu. Kekeme çocuklarda MPV gibi hematolojik belirteçlerin kullanılması etyolojide suçlanan kronik inflamatuar durumun belirlenmesinde yol gösterici olabileceği düşüncesindeyiz.

Anahtar Kelimeler:

Kekemelik, Hematolojik parametre, İnflamasyon

Is There Relationship Between Stuttering and Hematological Parameters in Children?

Background: We aimed to evaluate MPV in children followed-up for stuttering. Materials and Methods: The study included a total of 155 individuals, comprising 55 in the patient group with a stutter and 100 in the control group. EDTA blood samples drawn at admission of the patient were analyzed in an automated hematology analysis system. MPV, white blood cell, neutrophil, lymphocyte, platelet count, neutrophil- lymphocyte ratio(NLR), platelet- lymphocyte ratio(PLR) and Systemic Immun Inflamation Index(SII) were measured. Results: The mean age was 8.93±3.87 years (min:4-max:15) in the stuttering group and 8.73±3.21 years (min:5 max: 15) in the control group. MPV, white blood cell, neutrophil, lymphocyte, platelet count, PLR and SII were higher in patient group compared to the controls and the difference was statistically significant (p<0,05). Conclusion: In this study, MPV was found to increase in stuttering children. Also, we believe that the use of new markers such as MPV in children with stuttering could be a guiding parameter in determination inflammatory status.

Keywords:

Stuttering, Hematological parameter, inflamation.,

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