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尼日利亚西南部奥约州乙型肝炎和非乙型肝炎患者的 CD4 细胞计数和一些血液学参数的病例对照研究。

Case control study of CD4 cell count and some haematological parameters among hepatitis and non-hepatitis B patients in Oyo State, South-west, Nigeria.

机构信息

University College Hospital Ibadan, Department of Medical Microbiology and Parasitology.

University of Ibadan, College of Medicine, Department of Community Medicine.

出版信息

Afr Health Sci. 2023 Mar;23(1):190-197. doi: 10.4314/ahs.v23i1.21.

Abstract

AIM

Hepatitis B virus HBV infection is a major cause of chronic liver disease worldwide. CD4 count and haematological parameters (HPs) could be used to monitor the health status of hepatitis B (HB) individuals. This study aimed at assessing levels of CD4 count and some HPs among sufferers of HB patients and controls.

METHODS

Fifty (50) HB patients as cases and 50 age-matched controls were recruited into the study. 5ml of whole blood sample was collected from all eligible participants of which 20µl and 10µl were used for CD4 count and HPs analysis respectively. Pearson correlation analysis was used to assess statistical difference within them using SPSS version 20.

RESULTS

There was significant increase between the normal values of the CD4 count of both cases and controls (p<0.05). Significant correlations were found in some HPs such as HCT with WBC; HB and RBC with PLT; RBC, HCT and PLT with WBC.

CONCLUSION

There were no significant differences between the values of the CD4 count and hematological parameters among HB subjects in this study. There is need for future studies to detect changes in CD4 count and other HPs in HB patients to increase options of screening for immunological changes during management.

摘要

目的

乙型肝炎病毒(HBV)感染是全球慢性肝病的主要病因。CD4 计数和血液学参数(HPs)可用于监测乙型肝炎(HB)个体的健康状况。本研究旨在评估 HB 患者和对照者的 CD4 计数和一些 HPs 水平。

方法

招募了 50 名 HB 患者(病例组)和 50 名年龄匹配的对照者作为研究对象。从所有合格的参与者中采集 5ml 全血样本,其中 20µl 和 10µl 分别用于 CD4 计数和 HPs 分析。使用 SPSS 版本 20 进行 Pearson 相关性分析,以评估它们之间的统计学差异。

结果

病例组和对照组的 CD4 计数正常值均有显著升高(p<0.05)。一些 HPs 如 HCT 与 WBC、HB 和 RBC 与 PLT、RBC、HCT 和 PLT 与 WBC 之间存在显著相关性。

结论

在本研究中,HB 患者的 CD4 计数和血液学参数值之间没有显著差异。需要进一步研究来检测 HB 患者的 CD4 计数和其他 HPs 的变化,以增加管理过程中免疫变化筛查的选择。

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