Prevalence of Anaemia among Patients attending Central Laboratory at a Tertiary Care Centre in Nepal

K. Jha, D. Regmi
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Abstract

INTRODUCTION: Anaemia is a very common problem in developing country like Nepal among children’s and young females. It is necessary to detect haemoglobin at early stage to know about anaemia. Anaemia in female causes dizziness and loss of concentration, which may lead to fall down and cause severe injury. In pregnant woman anaemia leads to developmental delay in children. In anaemic pregnant females, loss of blood during delivery can cause complications and even death of mother and foetus. In children iron deficiency anaemia may cause loss of concentration, developmental delay and delay in maturity of brain. MATERIALS AND METHODS: This prospective, cross-sectional study was carried out at Rapti Academy of Health Sciences from 1st March 2019 to 1st April 2019. A total of 1000 samples which came in central laboratory on regular basis were taken and Mindray 5 part hematology analyzer was used to evaluate the samples. In samples with low haemoglobin count, peripheral smear examination was done to determine the type of anaemia. RESULTS: Patient blood samples were taken irrespective of age and sex. Out of the total 1000 cases from various Outpatient departments of Rapti Academy of Health Sciences, 240 (24%) patients were anaemic. CONCLUSIONS: Anaemia is a major problem worldwide and the most common anaemia is microcytic hypochromic anaemia, especially iron deficiency anaemia followed by megaloblatic anaemia and hemolytic anaemia. Thus, it is necessary to do haemoglobin count and stool examination of woman in hilly regions on a regular basis, which will be helpful to avoid further anaemia related complications.
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在尼泊尔三级保健中心中心实验室就诊的患者中贫血的患病率
在尼泊尔这样的发展中国家,贫血是儿童和年轻女性中非常普遍的问题。早期检测血红蛋白是了解贫血的必要条件。女性贫血会引起头晕和注意力不集中,这可能导致跌倒并造成严重伤害。孕妇贫血会导致儿童发育迟缓。在贫血的孕妇中,分娩时失血可引起并发症,甚至导致母亲和胎儿死亡。儿童缺铁性贫血可引起注意力丧失、发育迟缓和大脑发育迟缓。材料和方法:本前瞻性横断面研究于2019年3月1日至2019年4月1日在Rapti健康科学院进行。采集中心实验室定期送检样本1000份,采用迈瑞5分式血液分析仪对样本进行评价。在血红蛋白计数低的样本中,外周血涂片检查以确定贫血的类型。结果:患者血样采集不分年龄和性别。在Rapti卫生科学院各个门诊部的总共1000例病例中,240例(24%)患者贫血。结论:贫血是世界范围内的一个主要问题,最常见的贫血是小细胞性低色素贫血,尤其是缺铁性贫血,其次是巨幼细胞性贫血和溶血性贫血。因此,有必要定期对丘陵地区妇女进行血红蛋白计数和粪便检查,这将有助于避免进一步的贫血相关并发症。
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