脊髓功能障碍在患有状细胞疾病的儿童:来自印度中部的一个单一中心的经验
Juliet Johns1, Anil Kumar Goel2, Sunil Jondhale1
1Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Indian pediatrics
|June 24, 2024
概括
在患有状细胞疾病 (SCD) 的儿童中,脏功能障碍在印度中部比西方更少. 关键预测因素包括老年,频繁的危机,住院和特定的实验室值.
科学领域:
- 儿科 儿科 儿科
- 血液学 血液学 血液学
- 医疗成像医学成像
背景情况:
- 状细胞疾病 (SCD) 经常导致儿童的脏功能障碍.
- 早期识别脏功能障碍对于管理SCD并发症至关重要.
- 中印度脏功能障碍的患病率和预测因素需要进行具体的调查.
研究的目的:
- 为了确定中印度儿科SCD患者脏功能障碍的患病率.
- 在这个人群中确定与脏功能障碍相关的临床和实验室预测因素.
主要方法:
- 一项横截面研究包括66名患有SCD的儿童 (1-15岁).
- 使用标记Technetium-99m的自主RBC光学扫描和Howell Jolly体来评估脏功能.
- 排除标准是针对已知影响脏功能的疾病.
主要成果:
- 19.7%的脊髓功能受损,4.6%的脊髓功能没有通过光阴扫描.
- 7.5%的孩子都存在Howell Jolly体,所有这些孩子都患有脊髓大病.
- 功能障碍的独立预测因素包括年龄>5岁,>4次血管封闭性危机,>3次住院,>5次输血,没有尿素,高网状细胞计数和高HbS水平.
结论:
- 中印度儿童中功能障碍的患病率低于西方研究报告的水平.
- 研究结果表明,针对个体化的抗生素预防方法可能适合这些儿童.
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