Sezaryen Operasyonlarında Plateletcrit İnflamasyon Belirteci Olabilir

Amaç: Hemogram kökenli yeni inflamatuar belirteçlerin; özellikle nötrofil / lenfosit oranı (NLR), ortalama trombosit hacmi (MPV), kırmızı hücre dağılım genişliği (RDW), MPVtrombosit oranı (MPR), RDW / trombosit oranı (RPR) ve trombosit oranı (MPT) preoperatif ve postoperatif değerlerini genel veya spinal anestezi ile sezaryen yapılan gebelerde karşılaştırmayı amaçladık. Materyal-Metot: Çalışmamızda genel ve bölgesel anestezi için herhangi bir kontrendikasyonu olmayan, tek bir fetüs gebeliği olan, 18-40 yaşları arasındaki seçmeli sezaryen bölümü olan hastalar çalışmaya alındı. Denekler rastgele iki gruba ayrıldı. Grup I (n =30) hastalara genel anestezi, Grup II (n=30) hastalara spinal anestezi uygulandı. Preoperatif ve postoperatif hemogram parametreleri karşılaştırıldı. Bulgular: Spinal ve genel anestezi gruplarının postoperatif PCT değerleri sırasıyla %0,16 (0,05) ve %0,19 (0,07) idi. Postoperatif PCT’deki fark istatistiksel olarak anlamlıydı (p=0,03). Sonuç: Sezaryen ameliyatı sonrası PCT’nin inflamasyon belirteci olarak kullanılabileceğini düşünüyoruz. Kontrendike değilse, sezaryen doğumundaki gebe kadınlar için spinal anestezi tercih edilmelidir.

Plateletcrit Could Be A Marker of Inflammation in Cesarean Section

Objective: We aimed to compare preoperative andpostoperative values of novel inflammatory markers ofhemogram; especially neutrophil to lymphocyte ratio (NLR),mean platelet volume (MPV), red cell distribution width(RDW), MPV to platelet ratio (MPR), RDW to platelet ratio(RPR) and plateletcrit (PCT) in pregnant women undergonecesarean section by either general or spinal anesthesia.Material-Method: Patients who had elective caesarean sectionin our institution that had no contraindications for general andregional anesthesia, with a single fetus pregnancy, 18-40 yearsold women were included in the study. The subjects wererandomly divided into two groups. Group I (n=30) patientsunderwent general anesthesia and Group II (n=30) patientsunderwent spinal anesthesia. Preoperative and postoperativehemogram parameters were compared.Results: Postoperative PCT values of spinal and generalanesthesia groups were 0.16 (0.05)% and 0.19 (0.07)%,respectively. The difference in postoperative PCT wasstatistically significant (p=0.03).Conclusions: We suggest that PCT could be used as amarker of inflammation after cesarean section surgery. If notcontraindicated, spinal anesthesia should be preferred forthose pregnant women in cesarean delivery.

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