Hematological Profile of Adult Haemoglobin SS and SC Sickle Cell Patients in Stationary Phase: Evidences from National Teaching Hospital of Cotonou in Benin

A. Zohoun, T. Baglo-Agbodande, B. Houssou, R. Massi, E. Kassehin, G. G. O. Guiwa, J. Dèhoumon, J. Mehou, L. Anani, A. Vovor, D. Kindé-Gazard
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Abstract

Background and Objective: Sickle cell disease is a major public health problem. The aim of this study was to determine the hematological parameters in the inter-critical period of adult sickle cell patients at the National Teaching Hospital CNHU-HKM of Cotonou. Materials and Methods: This is a descriptive study with analytical aims carried out from July 2021 to December 2021 in the hematology department of the National Teaching Hospital CNHU-HKM of Cotonou. An hemogram was performed using Sysmex XT 4000i on a total of 181 sickle cell patients including 119 Hb SS and 62 Hb SC. Data were analyzed using R software. Results: Patients studied had a mean age of 32 ± 13 years. The mean of hemoglobin level was 7.7 ± 1.9 g/dL in Hb SS patients versus 11.27 ± 1.79 g/dL in Hb SC patients (p = 0.001). The mean leukocyte count was 13.2 ± 4.4 G/L in Hb SS patients versus 7.3 ± 3 G/L in Hb SC patients (p = 0.003); the mean neutrophil count was 6.93 ± 3.24 G/L in Hb SS patients versus 3.96 ± 1.72 G/L in Hb SC patients (p = 0.001). Platelet counts averaged 426 ± 213 G/L in Hb SS patients versus 223 ± 103 G/L in Hb SC patients (p = 0.001). Conclusion: This study revealed a higher mean hemoglobin level, mean leukocyte count and mean platelet count in Hb SS patients compared to Hb SC patients in the stationary phase.
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固定期成人血红蛋白SS和SC镰状细胞患者血液学特征:来自贝宁科托努国立教学医院的证据
背景与目的:镰状细胞病是一个重大的公共卫生问题。本研究的目的是测定科托努国立教学医院成人镰状细胞患者危重间期的血液学参数。材料与方法:本研究为描述性研究,目的为分析性研究,于2021年7月至2021年12月在科托努国立教学医院CNHU-HKM血液科开展。使用Sysmex XT 4000i对总共181例镰状细胞患者(包括119例血红蛋白SS和62例血红蛋白SC)进行血象分析,数据使用R软件进行分析。结果:患者平均年龄32±13岁。Hb SS患者血红蛋白水平平均值为7.7±1.9 g/dL, Hb SC患者为11.27±1.79 g/dL (p = 0.001)。Hb SS患者的平均白细胞计数为13.2±4.4 G/L,而Hb SC患者的平均白细胞计数为7.3±3g /L (p = 0.003);Hb SS患者的平均中性粒细胞计数为6.93±3.24 G/L, Hb SC患者的平均中性粒细胞计数为3.96±1.72 G/L (p = 0.001)。血红蛋白SS患者平均血小板计数为426±213 G/L,而血红蛋白SC患者平均血小板计数为223±103 G/L (p = 0.001)。结论:本研究显示,在固定期,与Hb SC患者相比,Hb SS患者的平均血红蛋白水平、平均白细胞计数和平均血小板计数更高。
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