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广西重型β地中海贫血患者贫血和铁超载现状调查

李静 周天红 唐卒卒 陈明星 周钧宁 农丕银 卢晓雯 尹晓林

中国输血杂志2019,Vol.32Issue(2):183-185,3.
中国输血杂志2019,Vol.32Issue(2):183-185,3.DOI:10.13303/j.cjbt.issn.1004-549x.2019.02.022

广西重型β地中海贫血患者贫血和铁超载现状调查

Investigation on anemia and iron overload in patients with β-thalassemia major in Guangxi

李静 1周天红 1唐卒卒 1陈明星 1周钧宁 1农丕银 1卢晓雯 1尹晓林1

作者信息

  • 1. 解放军联勤保障部队第九二三医院输血科,广西 南宁 530021
  • 折叠

摘要

Abstract

Objective To investigate the anemia and iron overload in patients with β-thalassemia major (TM) in Guangxi, and to provide basic data and reference for clinical treatment aiming at improving the quality of life of the patients. Methods From 2011 to 2017, data of 1 029 TM patients in 923rd Hospital of PLA were collected from Management Software of Thalassemia. The levels of hemoglobin (Hb) and serum ferritin (SF) in the patients were measured for 12 119 times and 4 834 times, respectively. The average Hb and SF in each year were calculated. Hb and SF in patients of different ages were analyzed with SPSS software. Results Pretransfuison Hb level of>90 g/L, (60-90) g/L, (30-60) g/L and <30 g/L were 28.9% (297/1 029), 49.1% (505/1 029), 19.4% (200/1 029) and 2.6% (27/1 029), respectively. There was no significant correlation between average Hb level and age or year. Iron overload and severe iron overload (SF>2500 ng/mL) was identified in 87.3% (898/1 029) and 46.8% (482/1 029) of TM patients, respectively; the average SF level increased together with the increase of age. Conclusion The treatment status of TM patients in Guangxi is worse than expected. Regular transfusion and iron chelator therapy are in urgent need to be strengthened.

关键词

β地中海贫血重型/贫血/铁超载

Key words

beta thalassemia major/anemia/iron overload

分类

医药卫生

引用本文复制引用

李静,周天红,唐卒卒,陈明星,周钧宁,农丕银,卢晓雯,尹晓林..广西重型β地中海贫血患者贫血和铁超载现状调查[J].中国输血杂志,2019,32(2):183-185,3.

基金项目

广西自然科学基金(2015GXNSFAA139164) (2015GXNSFAA139164)

中国输血杂志

OACSTPCD

1004-549X

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