尼日利亚东北部约拉难民营儿童红细胞指数分析

A. Emmanuel, A. U. Akpan, Ohwonigho Collins Adjekuko, E. Obeagu
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摘要

背景/目的:红细胞指标是儿童临床护理的重要指标。与尼日利亚大多数州一样,对阿达马瓦州境内流离失所者营地儿童红细胞指数的分析没有得到充分研究。因此,本研究旨在分析约拉县富福难民营儿童的红细胞指标。材料与方法:本研究招募了297名12 ~ 61月龄儿童(女137名,男160名)和201名明显健康的在校儿童作为对照组。取患儿血3ml,转入K3-EDTA抽真空管。使用Sysmex XP300血液分析仪在采集血液的4小时内测定全血细胞计数。结果:两组平均红细胞计数分别为3.1±0.7 X109/l和4.3±0.7 X109/l (P<0.05),红细胞分布宽度(RDW)分别为16.9%和13.5%。受试者和对照组的血红蛋白水平分别为9.7±1.1 g/dl和12.4±1.3 g/dl。被试的平均包细胞体积(Pack Cell Volume, PCV)为32.7±0.3%,对照组的PCV为37.0±0.2%。实验组和对照组的平均细胞体积(Mean Cell Volume, MCV)分别为74.8±0.6 fl和81±0.5 fl,对照组和实验组的平均细胞血红蛋白(Mean Cell Hemoglobin, MCH)分别为26.9±0.9 pg和27±0.4 pg,差异均有统计学意义(P<0.05)。结论:难民营儿童红细胞计数、PCV、MCV、血红蛋白值低于对照组,RDW值高于对照组,差异有统计学意义(P<0.05)。因此,在约拉Fufore国内流离失所者营地的儿童中观察到小细胞性贫血和缺铁性贫血。
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Analysis of Erythrocyte Indices of Children in Internally Displaced People Camp of Yola, Northeast Nigeria
Background/Objectives: Erythrocyte indices constitute important parameters useful in clinical care of children. Analysis of erythrocyte indices for children in IDP (Internally Displaced People) camps in Adamawa State like in most states in Nigeria was not fully studied. Therefore, this study aims to analyze the erythrocyte indices of children in Fufore IDP camp in Yola. Materials and Methods: This study enrolled 297 children (137 females and 160 males) in the camp with age range of 12 to 61 months old and 201 apparently healthy school children as control group. 3ml of blood were collected from children and transferred into K3-EDTA vacutainer tubes. Full blood count was determined within four hours of blood collection using the Sysmex XP300 hematological analyzer. Results: Mean erythrocyte count of subjects and control was 3.1 ± 0.7 X109/l and 4.3 ± 0.7 X109/l respectively at P<0.05 and red cell distribution width (RDW) of subjects was 16.9% while that of control was 13.5%. Hemoglobin level of subject and control was 9.7 ± 1.1 g/dl and 12.4 ± 1.3 g/dl respectively. The mean Pack Cell Volume (PCV) of subjects was 32.7 ± 0.3% while the PCV of control group was 37.0 ± 0.2%. The Mean Cell Volume (MCV) of subject and control group was 74.8 ± 0.6 fl and 81 ± 0.5 fl respectively while Mean Cell Hemoglobin (MCH) of the control and subject group was 26.9 ± 0.9 pg and 27 ± 0.4 pg respectively at P<0.05. Conclusion: Children in IDP camp had lower RBC count, PCV, MCV, Hemoglobin values and higher RDW value than the control group at P<0.05. Hence microcytic and iron deficiency anemia was observed among children in Fufore IDP camp in Yola.
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