通过测定拉合尔儿童医院献血者血清铁蛋白和血红蛋白来评价献血者的铁储备

Tooba Fateen, Sehar Ali, Nazish Saqlain, Faiza Shafqat, A. Khalid, Kanwar Sajid Ali, Z. Kashif
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摘要

简介:频繁献血会导致献血者的铁衰竭以及与之相关的问题。减少献血者中铁含量减少的比例是促进献血者福祉的一项关键计划。目的和目的:本分析的目的是通过测定献血前男性献血者血清铁蛋白及其与血红蛋白浓度和献血频率的关系来确定铁储量。研究设计:横断面研究。地点和时间:2021年8月至2022年7月拉合尔儿童医院儿童健康科学大学病理学(免疫血液学)科和血库。材料和方法:对350份血清样本进行处理,测定血红蛋白和血清铁蛋白浓度。这项研究是在健康的献血者身上进行的。采用化学发光法同时测定血清铁蛋白。结果:共采集献血者血清350份。其中首次献血者154例,频繁献血者196例;恒定供血者血清铁蛋白明显降低。不常献血者平均为105ng/mL,常献血者平均为79.35ng/mL。新献血者和定期献血者的血红蛋白无显著差异。然而,在第一次和定期供给者之间,铁耗尽的普遍程度存在重大差异。结论:献血对铁储量有显著影响,是献血者特别是多次献血者缺铁的重要因素之一。血清铁蛋白测量应纳入献血者偏好,特别是在评估一贯的献血者时,以确保献血者社区有足够的铁池,以维持相关的潜在献血者。
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To Assess the Iron Reserves in Blood Donors by Measuring Serum Ferritin and Hemoglobin in the Children Hospital Lahore
Introduction: Frequent contribution of blood can cause iron exhaustion in blood donors along with the problems related to it. Curtailing the proportion of iron reduction among blood donors is a crucial plan for boosting donor’s well-being. Aim & objectives: The aim of this analysis is to determine iron stocks by measuring serum ferritin in pre-donation male blood donors along with their relation with the hemoglobin concentration and frequency of blood donations. Study design: Cross-sectional study. Place and duration: Pathology (immunohematology) department and blood bank of University of Child Health Sciences, The Children Hospital Lahore from Aug 2021 to July 2022 Material and Methods: A total of 350 serum samples were processed to determine hemoglobin and serum ferritin concentrations. The study involved was performed on healthy blood donors. The method used was chemiluminescence for the simultaneous measurement of serum ferritin. Results: An aggregate of 350 serums were collected from the contributors in blood bank. Among them, 154 were the first-time donor and 196 were the frequent donors; the serum ferritin was markedly reduced in constant contributors. The mean value 105ng/mL was found in infrequent donors and 79.35ng/mL was found in frequent donors. There was no notable variance in hemoglobin of newbie and regular blood givers. However, a momentous variation in the pervasiveness of iron depletion between first‑time and regular donors is found. Conclusion: Blood donation has a noteworthy impact on iron stores and is one of the most important factors for iron shortage in contributors, specifically in those who donate blood again and again. Serum ferritin measurement ought to be incorporated in the blood donor preference especially in the evaluation of consistent blood givers to assure enough iron pools in the donor community in order to sustain a pertinent potential donor.
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