C反应蛋白、血红蛋白、红细胞、白细胞和血小板在部落地区镰状细胞病患者中的作用

Lata Buktar, Sharad B. Mankar
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摘要

镰状细胞基因在印度的许多部落和其他普通人群中广泛存在。这种无序现象在本质上是隐性的。杂合子[HbAS]是绝对无症状的,但纯合子[HbSS]患有严重并发症,导致寿命短。这可能是由于HbSS患者出现血管闭塞危象。本研究旨在评估CRP、WBC计数、血红蛋白、红细胞和血小板计数在镰状细胞病患者中的重要性,测量这些救生参数应作为镰状细胞疾病患者的常规随访,以提高这些患者的意识。约有30名镰状细胞患者参加了由Shri Vasantrao NaikGovt医学院Yavatmal病理科运营的镰状细胞门诊,他们的平均年龄为12至50岁。任何诊断为镰状细胞病的病例,已经进行了CBC和HPLC检查,并表现为疼痛的crisis,都被要求参与我们的研究。用平面球从镰状细胞病患者的肘静脉抽取不到5毫升的血液进行CRP评估。在本试验中,显示凝集的血清最高稀释度取0.6ml/dl作为高度敏感性。在CRP阳性和CRP阴性的HbSS和HbAS患者中,上述参数的比较表明,与CRP阴性的HbAS患者相比,CRP阳性的HbSS患者的血红蛋白、红细胞、白细胞和血小板的值非常显著。
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Role of ‘C’ Reactive Protein, Haemoglobin, Red Blood Cell, White Blood Cell and Platelet in Sickle Cell Disease Patients of Tribal District.
Sickle cell gene is widespread among many tribal and other general population groups in India. This disorderis recessive in nature. The heterozygous [HbAS] are absolutely asymptomatic but the homozygous [HbSS]suffer from serious complications leading to short life span. This may be due to vaso-occlusive crisis whichoccurs in HbSS patient. The present study aimed to assess the importance of CRP, WBC count, Haemoglobin,RBC and platelet count in sickle cell disease patient, measurement of these lifesaving parameters shouldbe done as routine follow up for patient with sickle cell disease to increase awareness among these patient.About 30 sickle cell patient attending sickle cell OPD run by pathology department at Shri Vasantrao NaikGovt Medical College Yavatmal are taken for the present study, their average age was 12 to 50 years. Anydiagnosed case of sickle cell disease having CBC and HPLC already done and presenting in painful crisiswere approached with a request to participate in our study. Less than 5 ml of blood is withdrawn from cubitalvein of sickle cell patient in a plane bulb for CRP estimation. In this test highest dilution of serum showingagglutination 0.6 ml/dl is taken as highly sensitiveComparison of above parameters in CRP positive and CRP negative HbSS and HbAS patients shows that thevalues of haemoglobin, RBC, WBC and Platelet are highly significant in CRP+ve HBSS patient as compareto CRP-ve HBAS pt.
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