Rakotovao-Ravahatra Zafindrasoa Domoina, Randriatsarafara Fidiniaina Mamy, Razafimanantsoa Fetralinjiva, Rabetokotany Felana Ranaivo, Rakotovao Andriamiadana Luc
Unité Laboratoire du CHU-HJRB d'Antananarivo, Madagascar.
Département Santé publique Faculté de Médecine d'Antananarivo, Madagascar.
Pan Afr Med J. 2016 Feb 19;23:49. doi: 10.11604/pamj.2016.23.49.8900. eCollection 2016.
The blood count is a routine laboratory test prescribed to patients suffering from high blood pressure. This study aims to describe the results of blood count from hypertensive patients and to identify conditions associated.
This retrospective and descriptive study concerns the period from the 1st of December 2012 to 31 th of December 2013 in the laboratory of University Hospital Center CHU-HJRB of Antananarivo. All records of results from hypertensive patients who requested blood count have been exploited.
Among 151 hypertensive patients, 91 (60.3%) had pathological blood counts. Of these, 64 (70.4%) showed one type of abnormality and 27 (29.6%) had multiple abnormalities. The anaemia (33.91%), the leukocytosis (33.04%), the polycythemia (10.43%) and the leukopenia (9.57%) are the most frequent. Among the multiple abnormalities, anaemia associated with leukocytosis is the most observed (29.6%). The microcytosis anaemia (41%) and the neutrophil polymorphonuclear leukocytosis are the most dominant (47.4%). Patients in nephrology (90%) and in endocrinology (81.3%) are the most concerned (p = 0,008). Hypertensive under 20 years old (100%) and women (61.5%) are the most affected (p > 0, 05). The seizures (100%), the edema of the lower limbs (100%) and diabetes (70%) are the signs and pathology most encountered.
The blood count should be prescribed for all hypertensive patients to identify the affections that will be treated simultaneously with the high blood pressure. Thus, hypertensive patients will have a good follow-up and their life expectancy will be improved.
血常规是为高血压患者开具的一项常规实验室检查。本研究旨在描述高血压患者的血常规结果,并确定相关情况。
这项回顾性描述性研究涉及2012年12月1日至2013年12月31日期间在塔那那利佛大学医院中心CHU - HJRB实验室进行的研究。对所有要求进行血常规检查的高血压患者的结果记录进行了分析。
在151名高血压患者中,91名(60.3%)血常规结果异常。其中,64名(70.4%)表现为一种异常,27名(29.6%)有多种异常。贫血(33.91%)、白细胞增多(33.04%)、红细胞增多(10.43%)和白细胞减少(9.57%)最为常见。在多种异常中,贫血合并白细胞增多最为常见(29.6%)。小细胞性贫血(41%)和中性粒细胞多形核白细胞增多最为突出(47.4%)。肾病科患者(90%)和内分泌科患者(81.3%)受影响最大(p = 0.008)。20岁以下的高血压患者(100%)和女性(61.5%)受影响最大(p > 0.05)。癫痫(100%)、下肢水肿(100%)和糖尿病(70%)是最常出现的体征和病理情况。
应为所有高血压患者进行血常规检查,以确定可与高血压同时治疗的疾病。这样,高血压患者将得到良好的随访,其预期寿命也将得到提高。