输血依赖型地中海贫血儿童的身体发育

Rifat Karnain, Golam Mohammad Tayeb Ali, Aparup Das, Tanuka Barua, Mursheda Khanam, Zabeen Choudhury
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引用次数: 1

摘要

背景:地中海贫血是孟加拉国一种主要的先天性血液病。这些患者通常生长不良和成熟延迟。本研究旨在评估输血依赖型地中海贫血(TDT)的生理生长。材料与方法:本横断面比较研究纳入60名诊断为输血依赖性地中海贫血的儿童,时间超过1年,在吉大港医学院附属医院儿童血液肿瘤科和血液内科进行。其中每年输血次数大于12次的患儿30例为I组,其余每年输血次数大于12次的患儿30例为II组。统计分析采用SPSS-22 (Statistical Packages for Social Sciences)设计的视窗计算机软件进行。结果:ⅰ组血清铁蛋白平均值高于ⅱ组,分别为1243.77±761.626和293.77±142.686。1组中有近三分之二(60.0%)的患者发育严重,2组中有8例(26.7%)发育严重。1组体重不足28例(93.3%),2组体重不足18例(60.0%)。两组间差异有统计学意义。结论:输血次数越多,血清铁蛋白水平越高,生长发育迟缓(身高与年龄相比)越明显。Jcmcta 2021;32 (1): 89-95
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical Growth in Children with Transfusion Dependent Thalassemia
Background: Thalassaemia is a major congenital hematological disease of Bangladesh. Poor growth and delayed maturation occurs in these patients commonly. This study was aimed to evaluate the physical growth in Transfusion Dependent Thalassemia (TDT). Materials and methods: This cross-sectional comparative study enrolled 60 diagnosed Children with Transfusion dependent Thalassemia over I year and carried out in Pediatric Hematology and Oncology unit and Hematology Department of Chittagong Medical College Hospital, Chattogram. Among them, 30 children received blood transfusion >12 times per year was considered as group I and rest 30 children received blood transfusion £12 times per year was considered as group II. Statistical analysis was done by using window based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: The mean serum ferritin was higher in group I than group II(1243.77±761.626 and 293.77±142.686 respectively). Almost two third (60.0%) patients were severely stunted in group I and 8(26.7%) in group II. 28(93.3%) patients had under weight (<-2SD) in group I and 18(60.0%) in group II. The difference were statistically significant between two groups. Conclusion: Growth retardation (Height for age) was significant with higher number of blood transfusion and higher serum ferritin level . JCMCTA 2021 ; 32 (1) : 89-95
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