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印度中部沃德哈地区青少年纯合子镰状细胞病患者血清锌和抗氧化维生素的评估

Evaluation of Serum Zinc and Antioxidant Vitamins in Adolescent Homozygous Sickle Cell Patients in Wardha, District of Central India.

作者信息

Wasnik Rina Raibhan, Akarte Nilkanth Ramji

机构信息

Tutor, Department of Biochemistry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed University, Sawangi (Meghe), Wardha, Maharashtra, India.

Professor Emeritus of Biochemistry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed University, Sawangi (Meghe), Wardha, Maharashtra, India.

出版信息

J Clin Diagn Res. 2017 Aug;11(8):BC01-BC03. doi: 10.7860/JCDR/2017/30855.10320. Epub 2017 Aug 1.

Abstract

INTRODUCTION

Sickle cell anaemia is a condition characterized by haemolytic and vaso-occlusive crisis. Previous studies in different part of the world have reported deficiency of zinc, vitamin C and E but the role of their supplementation in sickle cell disease remains question. Nutritional factors may contribute to clinical manifestation in rural population of developing countries specially in adolescent age group. Thus, the present study was designed in rural population of Wardha district of Maharashtra in adolescent sickle cell homozygous patients in view to evaluate serum zinc and antioxidant vitamins C and E.

AIM

To evaluate the serum zinc and antioxidant vitamins C and E in cases of adolescent homozygous sickle cell disease.

MATERIALS AND METHODS

The study includes adolescent (between 10-20 years) individuals in two groups of 33 each. Group A included confirmed cases of Sickle Cell Disease (SCD) and Group B included age and sex matched normal healthy controls. Serum zinc, vitamins C and E were analysed in all the subjects of both the groups. Data were expressed as Mean±SD; unpaired t-test was used to compare the two groups. Statistical significance was decided by calculating the p-value.

RESULTS

Serum levels of zinc and antioxidant vitamins E and C were significantly low in sickle cell anaemia patients when compared to normal health controls (p-value<0.001).

CONCLUSION

Our study shows that the adolescent patients with SCD have significant low levels of zinc and significantly low antioxidant vitamins C and E, which may contribute to some of the manifestations of sickle cell disease.

摘要

引言

镰状细胞贫血是一种以溶血性和血管闭塞性危象为特征的疾病。此前在世界不同地区的研究报告了锌、维生素C和维生素E缺乏的情况,但补充这些营养素在镰状细胞病中的作用仍存疑问。营养因素可能导致发展中国家农村人口尤其是青少年群体出现临床症状。因此,本研究针对马哈拉施特拉邦瓦尔达地区农村的青少年镰状细胞纯合子患者展开,旨在评估血清锌以及抗氧化维生素C和E的水平。

目的

评估青少年纯合子镰状细胞病患者的血清锌以及抗氧化维生素C和E的水平。

材料与方法

本研究纳入两组青少年(年龄在10至20岁之间),每组各33人。A组为确诊的镰状细胞病(SCD)病例,B组为年龄和性别匹配的正常健康对照。对两组所有受试者的血清锌、维生素C和维生素E进行分析。数据以均值±标准差表示;采用非配对t检验比较两组。通过计算p值确定统计学显著性。

结果

与正常健康对照相比,镰状细胞贫血患者的血清锌以及抗氧化维生素E和C水平显著降低(p值<0.001)。

结论

我们的研究表明,患有SCD的青少年患者锌水平显著降低,抗氧化维生素C和E水平也显著降低,这可能导致了镰状细胞病的部分临床表现。

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