Erkan ESEN, Fatih ÖZDOĞAN, Halil Erdem ÖZEL, Zahide YILMAZ, Turgut YÜCE, Serdar BAŞER, Selahattin GENÇ, Adin SELÇUK
Tıkayıcı uyku apne sendromunda ortalama trombosit hacminin hastalık şiddetinde rolü var mıdır?
Amaç: Bu çalışmada, ağır tıkayıcı uyku apnesi sendromlu hastalarda TUAS kullanılan sürekli pozitif hava yolu basıncı CPAP tedavisinin trombosit aktivitesi üzerindeki etkisi gösterildi.Hastalar ve Yöntemler: Bu çalışmaya apne/hipopne indeksi AHİ ≥30 olan şiddetli TUAS’lı 46 hasta 29 erkek, 17 kadın; ort. yaş 48.2±7.6 yıl; dağılım 40-56 yıl alındı. Hastaların CPAP tedavisi öncesi ve sonrası altıncı ayda tam kan sayımları ölçüldü ve ortalama trombosit hacim OTH değerleri karşılaştırıldı.Bulgular: Şiddetli TUAS’lı hastaların CPAP öncesi OTH değerleri ortalama 8.9±1.3 p
Anahtar Kelimeler:
Kardiyovasküler risk, sürekli pozitif hava yolu basıncı, ortalama trombosit hacmi, tıkayıcı uyku apne sendromu
Mean platelet volume play a role in disease severity in patients with obstructive sleep apnea syndrome?
Objectives: This study aims to show the effects of nasal continuous positive airway pressure CPAP treatment on platelet activation in patients with severe obstructive sleep apnea syndrome OSAS . Patients and Methods: Forty-six patients 29 males, 17 females; mean age 48.2±7.6 years; range 40 to 56 years with severe OSAS with apnea/hypopnea index AHI ≥30 were included in this study. Complete blood counts were analyzed and mean platelet volume MPV values were compared in patients before and after CPAP treatment at six months. Results: The mean MPV values before CPAP were 8.9±1.3 p<0.001 , while the mean values were 7.7±1.1 p<0.001 at six months after CPAP treatment in patients with severe OSAS. There was a statistically significant decrease in the MPV values after CPAP treatment. Patients’ number of platelets which was measured six months after the CPAP treatment increased at a significant level compared to baseline p<0.001 . Conclusion: Continuous positive airway pressure treatment caused a significant decrease in the MPV values in patients with severe OSAS. As a negative acute phase reactant, MPV can be used as a marker to exert the cardioprotective effect of CPAP.
Keywords:
Cardiovascular risk, continuous positive airway pressure, mean platelet volume, obstructive sleep apnea syndrome,
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- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
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