Zahraa Qasim Mohammed, J. Jouda, Huraa Qasim Mohammed
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引用次数: 0
摘要
一般认为,与轻型地中海贫血症相比,只有重型地中海贫血症患者才需要进行健康控制。因此,这项工作的目的是调查轻型地中海贫血并发症的肝脏状况,并与重型地中海贫血进行比较。因此,我们随机选取了 84 名地中海贫血患者,其中 56 人为重型地中海贫血患者,28 人为轻型地中海贫血患者。采集的血样用于测定铁蛋白、肝酶和血脂的水平。结果显示,重型地中海贫血患者的谷丙转氨酶(ALP)水平与轻型地中海贫血患者相比没有明显差异,但谷草转氨酶(ALT)和谷草转氨酶(AST)水平明显高于轻型地中海贫血患者。所有重型和轻型地中海贫血患者的 ALP 都异常升高,45% 的重型患者的 AST 异常升高,30% 的重型患者的 ALT 异常高于正常范围。与轻型地中海贫血症患者相比,重型地中海贫血症患者的 Bild、BilT、胆固醇和甘油三酯水平明显较高,而 LDH 和 UHDL 水平则明显较低。与 40% 的轻度患者相比,90% 的重度患者的胆红素水平异常,高于正常范围。总之,轻型地中海贫血患者的 ALP 和一些血脂谱存在异常。因此,轻型地中海贫血患者可能面临肝脏疾病的风险,因此需要对他们进行控制,而要找到这种疾病的确切原因,还需要更多的研究。
The effect of minor thalassemia on the liver function and lipid profile compared with major thalassemia.
It is thought that only patients with major thalassemia need to be under healthy control compared to minor. Thus, the aim of this work is to investigate the minor thalassemia complications in the liver status and compare them with the major thalassemia. So, 84 patients with thalassemia were randomly selected; 56 with major and 28 with minor. The Blood Samples were collected and used to determine the levels of ferritin, liver enzymes and lipid profiles. The results were showed that while there were no significantly differences in the ALP levels, ALT and AST levels were significantly higher in the major thalassemia compared to minor. All the patients with major and minor had abnormal higher ALP, 45% of major had abnormal higher AST and 30% of the major had abnormal ALT than normal range. Bild, BilT, cholesterol and trig levels were significantly higher while LDH and UHDL levels were significantly lower in the major compared to minor. The Bild levels in 90% of the major compared to 40% of the minor were abnormal higher than normal range. As conclusion, there were abnormality in the ALP and some lipid profile of minor thalassemia. So, the patients with minor thalassemia could be under risk of liver disorder so they need to be under control and to find the exact reason of this disorder need more researches.