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三级护理医院青春期女孩缺铁及缺铁性贫血的患病率

Prevalence of Iron Deficiency and Iron Deficiency Anaemia in Adolescent Girls in a Tertiary Care Hospital.

作者信息

Kumari Rekha, Bharti Raushan Kumar, Singh Kalpana, Sinha Archana, Kumar Sudhir, Saran Anand, Kumar Uday

机构信息

Associate Professor, Department of Biochemistry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Student, Department of Biochemistry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

出版信息

J Clin Diagn Res. 2017 Aug;11(8):BC04-BC06. doi: 10.7860/JCDR/2017/26163.10325. Epub 2017 Aug 1.

Abstract

INTRODUCTION

Iron Deficiency Anaemia (IDA) is a global health problem. It involves population of all age group and sex. But adolescent girls are more vulnerable to it. The reasons may be increased iron demand, menstrual blood loss, infection, worm infestation etc.

AIM

To find the prevalence of iron deficiency and IDA in adolescent girls in a Tertiary Care Hospital.

MATERIALS AND METHODS

This cross-sectional study was done in the biochemistry clinical laboratory of Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India for a period of six months (April 2015-October 2015). Haemoglobin estimation was done by Sahli's method. Total iron and Total Iron Binding Capacity (TIBC) estimation was done by Ferrozine method on fully automated chemistry analyzer Olympus AU 400 with the reagent kit available in the market. Ferritin estimation was done by chemiluminesence immunoassay method, using Access 2 (Beckman Coulter).

RESULTS

Out of 200 girls, 50% adolescent girls were found to be anaemic. Of the total, 43.3% were mildly, 3.3% were moderately and 3.3% were severely affected by anaemia.

CONCLUSION

As prevalence of anaemia is 50%, it needs intervention for its prevention and control. This study will help in planning and implementation of the policy for prevention of iron deficiency and IDA.

摘要

引言

缺铁性贫血(IDA)是一个全球性的健康问题。它涉及所有年龄组和性别的人群。但青春期女孩更容易患此病。原因可能是铁需求增加、月经失血、感染、寄生虫感染等。

目的

在一家三级护理医院中,了解青春期女孩缺铁和缺铁性贫血的患病率。

材料与方法

这项横断面研究在印度比哈尔邦巴特那市英迪拉·甘地医学科学研究所的生物化学临床实验室进行,为期六个月(2015年4月至2015年10月)。血红蛋白测定采用萨利氏法。总铁和总铁结合力(TIBC)测定采用亚铁嗪法,在配备市场上可得试剂盒的全自动化学分析仪奥林巴斯AU 400上进行。铁蛋白测定采用化学发光免疫分析法,使用Access 2(贝克曼库尔特公司)。

结果

在200名女孩中,发现50%的青春期女孩贫血。其中,43.3%为轻度贫血,3.3%为中度贫血,3.3%为重度贫血。

结论

由于贫血患病率为50%,需要进行干预以预防和控制贫血。本研究将有助于规划和实施预防缺铁和缺铁性贫血的政策。

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