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铁状态和微量营养素与儿童造血系统恶性肿瘤贫血的相关性:来自印度北部的一项研究。

Correlation of Iron Status and Micronutrients With Anaemia of Childhood Haematopoietic Malignancies: A Study From Northern India.

作者信息

Tripathi Archana, Singh Monika, Jaiswal Mamta, Singh Dezy, Kumar Arvind, Hatwal Deepa

机构信息

Department of Blood Bank, Baba Raghav Das Medical College, Gorakhpur, IND.

Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2023 Jul 25;15(7):e42438. doi: 10.7759/cureus.42438. eCollection 2023 Jul.

DOI:10.7759/cureus.42438
PMID:37637580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10448918/
Abstract

BACKGROUND

Most cancer patients undergoing chemotherapy develop anemia during their course of treatment. There is a need for early treatment for chemotherapy-induced anemia to prevent morbidity and mortality.

MATERIAL AND METHOD

This is a hospital-based study, conducted over one year and included 59 children who are known cases of hematological malignancy aged up to 18 years. Standard methods were used to measure micronutrients and complete blood count. Statistical analysis was done using SPSS for Windows, Version 15.0 (Released 2006; SPSS Inc., Chicago, United States).

RESULTS

The majority of subjects (n=21; 35.6%) were aged six to nine years with male dominance. Micronutrient deficiency and significant anemia were noted in 40-50% and 64.4% of cases, respectively. Both malignancy and blood indices showed no association with micronutrients.

CONCLUSION

Anemia with micronutrient deficiency is common in children with hematopoietic malignancies receiving chemotherapy. However, no significant association was noted between red cell indices and levels of micronutrients.

摘要

背景

大多数接受化疗的癌症患者在治疗过程中会出现贫血。需要对化疗引起的贫血进行早期治疗,以预防发病和死亡。

材料与方法

这是一项基于医院的研究,为期一年,纳入了59名年龄在18岁以下的血液系统恶性肿瘤已知病例的儿童。采用标准方法测量微量营养素和全血细胞计数。使用SPSS for Windows 15.0版(2006年发布;SPSS公司,美国芝加哥)进行统计分析。

结果

大多数受试者(n = 21;35.6%)年龄在6至9岁,以男性为主。分别有40 - 50%和64.4%的病例存在微量营养素缺乏和显著贫血。恶性肿瘤和血液指标均与微量营养素无关联。

结论

接受化疗的血液系统恶性肿瘤儿童中,贫血伴微量营养素缺乏很常见。然而,红细胞指标与微量营养素水平之间未发现显著关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/10448918/3c16f15970e8/cureus-0015-00000042438-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/10448918/3c16f15970e8/cureus-0015-00000042438-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/700a/10448918/3c16f15970e8/cureus-0015-00000042438-i01.jpg

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本文引用的文献

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Asian Pac J Cancer Prev. 2021 Feb 1;22(S1):43-47. doi: 10.31557/APJCP.2021.22.S1.43.
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The evaluation of red blood cell folate and methotrexate levels during protocol M in childhood acute lymphoblastic leukemia.方案 M 治疗儿童急性淋巴细胞白血病期间红细胞叶酸和甲氨蝶呤水平的评估。
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Iron and leukemia: new insights for future treatments.铁与白血病:未来治疗的新视角。
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Iron Overload in Children with Leukemia Receiving Multiple Blood Transfusions.接受多次输血的白血病儿童的铁过载
Indian Pediatr. 2018 Nov 15;55(11):962-965.
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Copper deficiency, a new triad: anemia, leucopenia, and myeloneuropathy.铜缺乏症,一种新的三联征:贫血、白细胞减少和骨髓神经病。
J Community Hosp Intern Med Perspect. 2017 Sep 19;7(4):265-268. doi: 10.1080/20009666.2017.1351289. eCollection 2017 Oct.
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The anemia of inflammation/malignancy: mechanisms and management.炎症/恶性肿瘤相关性贫血:机制与管理
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