卢旺达鲁亨盖里转诊医院健康人血液学参考值的建立

Ally Dusabimana, Amie de Dieu Musabyimana
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摘要

背景:实验室调查是非常重要的,以达到明确的诊断疾病的方向,从而使最佳的病人管理基于知情的诊断。而这些在没有参考值的情况下是很难获得的。在许多情况下,血液学分析等实验室诊断依赖于预先定义的当地建立的参考值。研究目的:本研究的目的是描述在卢旺达鲁亨盖里转诊医院就诊的健康个体的血流变参考值范围。方法:横断面研究于2018年7月至2018年9月在鲁亨盖里转诊医院的北部省进行。参与者是252名年龄在1岁到68岁之间的健康个体。每位参与者使用K3 EDTA容器采集血样4mL,然后使用Sysmex XS-500i自动血液分析仪进行分析。结果:血红蛋白水平随年龄和性别而变化。血红蛋白水平随着年龄的增长而降低,男性血红蛋白水平高于女性(15.69g/dL比14.46g/dL)。与Sysmex制造值相比,研究参与者的血液学参数的最小平均值略高,置信区间窄。结论:研究结果可用于确定卢旺达人群的正常血液学值,并帮助医生更好地确定患者的血液学异常。
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Establishment of Haematological Reference Values for Healthy Individuals Attending Ruhengeri Referral Hospital in Rwanda
Background: The Laboratory investigations are very important for reaching to definitive diagnosis of diseases orientation and thus enabling optimal patient management based on informed diagnoses. Decision, and these are very difficult to obtain in the absence of reference values. In many cases, laboratory diagnosis such as haematological analyses are dependent on pre-defined locally established reference values. Objective of the study: The objective of this study was to describe ranges of haematological reference values for healthy individuals attending Ruhengeri referral Hospital in Rwanda Methodology: The cross sectional study was carried out in Northern Province at Ruhengeri referral hospital from July 2018 to September 2018. Participants were 252 healthy individuals aged less than one year to 68 years. From each participant, 4mL of blood samples were collected using K3 EDTA containers, and then analysed by Sysmex XS-500i automated haematology analyser. Results: Haemoglobin levels varied with age and sex. The level decreased with the increasing age, and males had high haemoglobin level than females (15.69g/dL versus 14.46g/dL). Minimum mean values of haematological parameters for study participants were slightly on the high side with narrow confidence intervals compared to the Manufactured Sysmex values. Conclusion: The findings may be used to define normal haematological values for Rwandan population and help physicians to better define haematological abnormalities in patients.
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