Assessment of Biochemical and Hematological Parameters in the CRF of Before and After Hemodialysis at Martyr Mohammed El-Najjar Hospital in Gaza Strip, Palestine

Mohamad Alhamss, A. Tabash, A. M. Elregeb, A. Mustafa, Asmaa Hejazi, Riyad Shaban, Ramy Sarafandi, Yaser Elarja, Nedal Hasanain, Shawgy Elhessy, F. Allyan
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Abstract

There are limited data on the assessment biochemical and hematological profile in the CRF (CRF) of before and after hemodialysis in the Gaza Strip. The study aimed to evaluating some biochemical parameters and hematological profile in the CRF of before and after hemodialysis at Martyr Mohammed El-Najjar Hospital in Rafah, Gaza Strip, Palestine. Forty-three (end-stage renal disease) ESRD patients, aged 20-70 years old who were referred to Martyr Mohammed Youssef Al-Najjar Hospital in Rafah for the hemodialysis department. 43 apparently healthy individuals matched for ages were used as a control group for comparisons. The results showed that after-dialysis higher statistically significant in Hb, RBC, HCT, PLT, AST, ALT, ALP and Ca level than before-dialysis. While Ph, WBC, RDW, creatinine (Cr.), Urea was lower statistically significant in after hemodialysis than before-dialysis (P < 0.05). theses indicate to: chronic kidney disease shows abnormal hematological parameters, precisely reduced levels of RBC count, hemoglobin, hematocrit, and platelet count, in addition, before-dialysis patients are more anemic and thrombocytopenic than after-dialysis patients and this is may indicate of lack of blood pressure and type2 diabetes mellites (T2DM) control in these patients. AST& ALT activities vary in concentration before and after hemodialysis and make the after-dialysis patients are higher than before-dialysis.
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巴勒斯坦加沙地带穆罕默德·纳贾尔殉道者医院血液透析前后CRF的生化和血液学参数评估
关于评估加沙地带血液透析前后的CRF (CRF)中的生化和血液学特征的数据有限。本研究旨在评估巴勒斯坦加沙地带Rafah烈士Mohammed El-Najjar医院血液透析前后CRF的一些生化参数和血液学特征。43名(终末期肾病)终末期肾病患者,年龄20-70岁,被转诊到拉法的穆罕默德·优素福·纳贾尔烈士医院血液透析科。43名年龄相匹配的健康个体作为对照组进行比较。结果显示,透析后患者Hb、RBC、HCT、PLT、AST、ALT、ALP、Ca水平均高于透析前,具有统计学意义。血液透析后Ph、WBC、RDW、肌酐(Cr.)、尿素低于透析前,差异有统计学意义(P < 0.05)。这些研究表明:慢性肾脏疾病表现为血液学参数异常,红细胞计数、血红蛋白、红细胞压积和血小板计数下降,透析前患者比透析后患者更贫血和血小板减少,这可能表明这些患者缺乏血压和2型糖尿病(T2DM)控制。血液透析前后ast和ALT活性浓度不同,使透析后患者高于透析前患者。
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