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尼日利亚西北部索科托产前诊所中非洲裔孕妇的一些血液学参数。

Some haematological parameters among pregnant women of African descent attending antenatal clinic in Sokoto North Western Nigeria.

作者信息

Iwueke Ikechukwu Polycarp, Erhabor Osaro, Digban Kester

机构信息

Pathology Department, Federal Neuro-Psychiatric Hospital, Sokoto, Nigeria.

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

出版信息

Hum Antibodies. 2019;27(4):247-255. doi: 10.3233/HAB-190379.

Abstract

Pregnancy is the fertilization and development of one or more offspring, known as an embryo or foetus in a woman's uterus. Pregnancy is a critical stage of development during which maternal nutrition can strongly influence obstetric and neonatal outcomes. The aim of this study was to determine the effect of pregnancy on the full blood count parameters of pregnant women of African descent residing in Sokoto, North Western Nigeria. This case-control study investigated 74 pregnant subjects and 22 non-pregnant controls. The mean age and income of the subjects were 28.00 ± 8.295 and 2760.42 ± 7975.178 respectively. Haematological parameters were determined using a fully automated 5-part differential haematology analyzer (Model Mythic 22-CT, Orpheee, Switzerland). Results obtained of pregnant subjects were compared with that of non-pregnant controls. The prevalence of anaemia (Hb < 11 g/dl) and thrombocytopenia (Platelet count < 140 × 109/L) was 58.11% and 6.75% respectively among the pregnant subjects. The mean haemoglobin, PCV, platelet and red cell count were significantly lower among the pregnant subjects (10.7 ± 0.13 g/dl and 31.4 ± 0.38%, 252.7 ± 14.35 × 109/L and 3.7 ± 0.04) compared to the non-pregnant controls (12.2 ± 0.44 g/dl, 36.2 ± 1.17 %, 362.7 ± 36.51 × 109/L and 4.3 ± 0.11) (p= 0.004, 0.001, 0.009 and 0.000) respectively. There were no significant differences in the total white blood cell count between the pregnant subjects (5.3 ± 0.22) and non-pregnant controls (4.6 ± 0.59) (p= 0.267). The Neutrophils count was significantly higher among the pregnant subjects (42.6 ± 3.06) compared to the non-pregnant controls (20.0 ± 2.33) (p= 0.000). This study has shown that pregnancy has a significant effect on some haematological parameters of women of African descent. The results of this research work indicates the need to routinely monitor the full blood count, anaemia and thrombocytopenia among pregnant women of African descent.

摘要

怀孕是指一个或多个后代(在女性子宫内称为胚胎或胎儿)的受精和发育过程。怀孕是一个关键的发育阶段,在此期间,母亲的营养会对产科和新生儿结局产生重大影响。本研究的目的是确定怀孕对居住在尼日利亚西北部索科托的非洲裔孕妇全血细胞计数参数的影响。这项病例对照研究调查了74名孕妇和22名非孕妇对照。研究对象的平均年龄和收入分别为28.00±8.295岁和2760.42±7975.178。使用全自动五分类血液分析仪(型号Mythic 22 - CT,瑞士Orpheee公司)测定血液学参数。将孕妇的检测结果与非孕妇对照的结果进行比较。孕妇中贫血(血红蛋白<11 g/dl)和血小板减少症(血小板计数<140×10⁹/L)的患病率分别为58.11%和6.75%。与非孕妇对照(12.2±0.44 g/dl、36.2±1.17%、362.7±36.51×10⁹/L和4.3±0.11)相比,孕妇的平均血红蛋白、红细胞压积、血小板和红细胞计数显著较低(10.7±0.13 g/dl和31.4±0.38%、252.7±14.35×10⁹/L和3.7±0.04)(p = 0.004、0.001、0.009和0.000)。孕妇(5.3±0.22)和非孕妇对照(4.6±0.59)之间的白细胞总数无显著差异(p = 0.267)。与非孕妇对照(20.0±2.33)相比,孕妇的中性粒细胞计数显著更高(42.6±3.06)(p = 0.000)。本研究表明,怀孕对非洲裔女性的一些血液学参数有显著影响。这项研究工作的结果表明,有必要对非洲裔孕妇的全血细胞计数、贫血和血小板减少症进行常规监测。

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