评估哈拉雷患者中葡萄糖-6-磷酸脱氢酶(G-6-PD)缺乏症的患病率

A. Mandisodza, Bt Kadira, L. Gwanzura, W. Mujaji
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摘要

葡萄糖-6-磷酸脱氢酶(G-6-PD)缺乏与氧化剂引起的溶血发作广泛相关,特别是在接受疟疾治疗的人群中。2001年10月和11月,对哈拉雷各私人诊所和三家大医院的200份血样进行了G6PD缺乏症流行情况的横断面研究。使用NAPD氧化还原酶法筛选血样中G6PD缺乏症的患病率。其中男性108例(54%),女性92例(46%)。p值为0.1096,两性间无统计学差异。200人中有23人(12%)缺乏G-6-PD,其余177人(88%)正常。对本研究中23个亏虚样本的光密度值进行分层,4个(17%)的光密度值大于(>)0.400为重度亏虚,19个(83%)的光密度值在0.330 ~ 0.400以下为轻度亏虚。光密度分层可以提供一种可能的缺陷率分级系统。为了更有效地评估津巴布韦的G6PD缺乏情况,需要进行一项计划周密、规模大、控制更严格的研究。关键词:葡萄糖-6-磷酸,氧化剂,溶血,疟疾,光密度
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Assessment of the Prevalence of Glucose-6-Phosphate Dehydrogenase (G-6-PD) Deficiency among Patients in Harare
Glucose-6-phosphate dehydrogenase (G-6-PD) deficiency is widely associated with oxidant induced haemolytic episodes, especially in people on malaria treatment. A cross sectional study on the prevalence of G6PD deficiency in was carried out on 200 blood samples from various private surgeries and three major Hospitals in Harare during October and November, 2001. The blood samples were screened for the prevalence of G6PD deficiency using the NAPD oxidoreductase method. One hundred and eight (54%) were males and 92 (46%) were females. A p-value of 0.1096 indicated no statistically significant difference between the two sexes. Twenty-three out of the 200 (12 %) were G-6-PD deficient while the remainder 177 (88%) were found to be normal. Stratifying the 23 optical density values of the deficient samples in this study showed that four (17%) had values equal to and more than (>) 0.400 indicating severe deficiency and 19 (83%) had values between 0.330 and less than 0.400 indicating mild deficiency. Optical density stratification may give a possible grading system in the deficiency rates. A well planned, large and more controlled research study is required to assess G6PD deficiency in Zimbabwe more effectively. Key words : Glucose-6-phosphate, oxidant, haemolysis, malaria, optical density
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