Perbandingan Jumlah Trombosit pada Pasien COVID-19 dengan Kadar Glukosa yang Berbeda

Imanta Alifia Octavira, Agrijanti Agrijanti, Lalu Srigede, Siti Zaetun
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Abstract

Hyperglycemia has increased arachidonic acid thromboxane which is an effective ingredient in platelet activation. Thrombocytopenia in COVID-19 patients occurs through a variety of mechanisms, such as uncontrolled production of cytokines destroying bone marrow progenitor cells, direct inhibition of hematopoiesis viral infection of the bone marrow, increase in autoantibodies and immune complexes that cause platelet destruction, and lung injury that causes platelet aggregation and consumption of platelets so that platelets in the circulation are reduced. Objectives: To analyzed the ratio of platelet counts in COVID-19-positive patients who had different blood glucose levels. Methods: This research used secondary data, with types of analytical observational research as well as comparative study approaches. Statistical tests were conducted using an independent samples t-test with a confidence level of 95%. Results: The average platelet count was normal, but a low platelet count of 3.30% was obtained with normal blood glucose levels and a high platelet count of 2.20% with normal blood glucose levels, with a significance value of platelet count with normal blood glucose levels of 0.790 and platelet counts with blood glucose levels above normal which is 0.791 with a confidence level of 95%. Conclusion: There was no significant difference between the platelet count in COVID-19 patients with normal and above normal blood glucose levelsKeywords: blood glucose, platelets, COVID-19
新冠肺炎不同血糖率患者血小板计数的比较
高血糖增加了花生四烯酸血栓素,这是血小板活化的有效成分。新冠肺炎患者的血小板减少是通过多种机制发生的,如破坏骨髓祖细胞的细胞因子的不受控制的产生、骨髓造血病毒感染的直接抑制、导致血小板破坏的自身抗体和免疫复合物的增加、,以及导致血小板聚集和消耗从而减少循环中的血小板的肺损伤。目的:分析不同血糖水平的COVID-19阳性患者血小板计数的比值。方法:本研究采用二次数据,采用分析观察研究和比较研究方法。统计检验采用独立样本t检验,置信水平为95%。结果:平均血小板计数正常,但血糖水平正常时血小板计数较低,为3.30%,血糖水平正常情况下血小板计数较高,为2.20%。血糖水平正常的血小板计数为0.790,血糖水平高于正常的血小板数为0.791,置信水平为95%。结论:新冠肺炎血糖正常与高于正常的患者血小板计数无显著差异关键词:血糖、血小板、新冠肺炎
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