Open AccessHEMATOLOGICAL INDIXES IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH ANEMIA
Author(s) -
О. М. Радченко,
O. V. Fedyk,
Р. Р. Гута
Publication year - 2019
Publication title -
aktualʹnì problemi sučasnoï medicini: vìsnik ukraïnsʹkoï medičnoï stomatologìčnoï akademì
Language(s) - English
Resource type - Journals
eISSN - 2077-1126
pISSN - 2077-1096
DOI - 10.31718/2077-1096.19.3.71
Subject(s) - erythrocyte sedimentation rate , medicine , immunology , inflammation , anemia , systemic inflammation
A retrospective analysis of 470 patients with chronic obstructive pulmonary disease and anemia was conducted in order to determine hematological indices. 17 markers of inflammation activity, endogenous intoxication, adaptation, nonspecific and immune reactivity were calculated during this analysis. It was established that the course of chronic obstructive pulmonary disease with anemia was accompanied by a more pronounced inflammation syndrome with a significant increase in stab and segmented neutrophilic granulocytes, an acceleration of the erythrocyte sedimentation rate, and significantly higher integral hematological inflammation indixes (leukocyte shift index, indexes of correlation: -leukocytes to erythrocyte sedimentation rate, -neutrophils to erythrocyte sedimentation rate, -nonsegonuclear neutrophils to erythrocyte sedimentation rate, neutrophils to lymphocytes; inflammation activity index, integrated inflammation index), large endogenous intoxication (neutrophil reactive response index, leukocyte intoxication index), change in adaptation, nonspecific reactivity (decrease in adaptation index, immune reactivity and allergization, and increase in the ratio indices: lymphocytes to monocytes, - lymphocytes to eosinophils) with activation of the phagocytic link of nonspecific protection over cell-humoral. The determination of integral hematological indices is an important, informative and accessible method for assessing the general condition of a patient with chronic obstructive pulmonary disease and anemia.