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尼日利亚索科托专科医院中非洲裔糖尿病患者的一些血液学参数、锰和锌水平。

Some haematological parameters, manganese and zinc levels among diabetic patients of African descent attending Specialist Hospital Sokoto, Nigeria.

作者信息

Erhabor O, Ibrahim D G, Udomah F P, Adias T C, Imoru M, Abdulrahaman Y, Zama I I, Ibrahim K, Hamidu A M, Onuigwe F U, Bagudo A I, Buhari H, Erhabor T

机构信息

Department of Haematology, School of Medical Laboratory Science, Usmanu Danfodiyo University, Sokoto, Nigeria.

Medical Laboratory Science Council of Nigeria, Sokoto, Nigeria.

出版信息

Hum Antibodies. 2019;27(4):227-236. doi: 10.3233/HAB-190375.

Abstract

BACKGROUND

World Health Organization statistics identifies that there are about 150 million people with diabetes mellitus worldwide and suggest that this figure may double by 2025.

OBJECTIVE

This research was conducted to determine the status of full blood count, zinc and manganese levels among Diabetic patients attending Specialist Hospital, Sokoto.

METHODS

The participants were divided into two groups; 58 diabetic subjects and 29 non-diabetic controls. Five milliliters of blood were collected into EDTA and plain containers for full blood count, serum zinc and manganese analysis. The FBC investigation was carried out using automated Mythic Haematology analyzer (Orphee, Switzerland) while Zn and Mn investigations were carried out using Atomic Absorption Spectrometry (AAS). The FBC, Zn and Mn status of both control and subjects were compared statistically.

RESULTS

The results obtained in this study showed a significant increase in RBC, PCV, Hb, Basophils, Eosinophil, Lymphocyte count and Manganese levels of diabetic subjects (p⩽ 0.05) when compared with controls. There was no statistically significant difference in the other FBC parameters and Zinc levels between diabetic subjects and non-diabetic controls (p> 0.05). There was a statistically significant difference in the Hb, PCV and lymphocyte of diabetic patients based on gender (p< 0.05). FBC, Manganese and Zinc have no effect based on age group, while other socio-demographic factors also have no effect on the FBC, Manganese and Zinc parameters of diabetic patients. The study also showed no statistical difference in the FBC, Manganese and Zinc of smokers and non-smokers (p> 0.05, respectively). In conclusion, this research shows that some haematological parameters (RBC count, Basophils, Eosinophil, Lymphocyte, Hb and Manganese) of the diabetic patients are significantly higher compared to non-diabetic controls. Marital status had a significant effect on the Hb, PCV and Lymphocyte of the diabetic patients (p< 0.05). The age group had no significant effect on the Hb, PCV and Lymphocyte of diabetic subjects (p> 0.05).CONCLUSIONS There is need to routinely monitor the full blood count, zinc and manganese levels among diabetic subjects in the area to optimize the care offered to these patients.

摘要

背景

世界卫生组织的统计数据表明,全球约有1.5亿糖尿病患者,且预计到2025年这一数字可能会翻倍。

目的

本研究旨在确定索科托专科医院糖尿病患者的全血细胞计数、锌和锰水平状况。

方法

参与者分为两组;58名糖尿病受试者和29名非糖尿病对照者。采集5毫升血液分别置于乙二胺四乙酸(EDTA)抗凝管和平皿容器中,用于全血细胞计数、血清锌和锰分析。全血细胞计数检测使用自动化Mythic血液分析仪(瑞士奥菲),而锌和锰检测则使用原子吸收光谱法(AAS)。对对照组和受试者的全血细胞计数、锌和锰状况进行统计学比较。

结果

本研究结果显示,与对照组相比,糖尿病受试者的红细胞(RBC)、红细胞压积(PCV)、血红蛋白(Hb)、嗜碱性粒细胞、嗜酸性粒细胞、淋巴细胞计数和锰水平显著升高(p⩽0.05)。糖尿病受试者与非糖尿病对照者在其他全血细胞计数参数和锌水平上无统计学显著差异(p>0.05)。基于性别,糖尿病患者的血红蛋白、红细胞压积和淋巴细胞存在统计学显著差异(p<0.05)。全血细胞计数、锰和锌不受年龄组影响,而其他社会人口学因素对糖尿病患者的全血细胞计数、锰和锌参数也无影响。该研究还表明吸烟者与非吸烟者在全血细胞计数、锰和锌方面无统计学差异(p>0.05)。总之,本研究表明,与非糖尿病对照者相比,糖尿病患者的一些血液学参数(红细胞计数、嗜碱性粒细胞、嗜酸性粒细胞、淋巴细胞、血红蛋白和锰)显著更高。婚姻状况对糖尿病患者的血红蛋白、红细胞压积和淋巴细胞有显著影响(p<0.05)。年龄组对糖尿病受试者的血红蛋白、红细胞压积和淋巴细胞无显著影响(p>0.05)。

结论

有必要对该地区糖尿病患者的全血细胞计数、锌和锰水平进行常规监测,以优化为这些患者提供的护理。

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