临床和血液学参数及其与维生素B12缺乏症严重程度的相关性:一项医院研究
Shilpy1, Minakshi Mishra2, Sapna Sandeep Saha2
1Pathology, Sir Sunderlal Hospital, Banaras Hindu University, Varanasi, IND.
Cureus
|October 13, 2025
概括
维生素B12缺乏是常见的,并与各种症状有关,严重的病例显示出更明显的贫血和神经问题. 正常细胞性贫血比宏细胞性贫血更频繁,挑战了传统的诊断.
科学领域:
- 血液学 血液学 血液学
- 营养科学 营养科学
- 临床医学 临床医学
背景情况:
- 维生素B12对于血液形成和神经功能至关重要.
- 缺乏症可以导致多种身体系统的各种健康问题.
- 了解临床 - 血液学相关性有助于管理缺陷.
研究的目的:
- 为了调查维生素B12缺乏症的临床血液学参数.
- 分析这些参数与缺陷严重程度之间的相关性.
- 确定缺陷患者的常见临床特征和血液学概况.
主要方法:
- 在第三级护理医院进行前性观察性研究.
- 包括420名成人患者,血清维生素B12<180 pg/mL.
- 收集和分析社会人口统计,临床和血液学数据.
主要成果:
- 在测试患者中,维生素B12缺乏的患病率为22.9%.
- 常见的症状包括白,疲劳,厌食症和刺痛.
- 严重缺乏与较高的中度/严重贫血,神经症状和细胞衰竭率相关.
- 正常细胞性贫血比宏细胞性贫血更为普遍.
结论:
- 维生素B12缺乏很普遍,与临床和血液学严重程度有明显的相关性.
- 早期检测和治疗至关重要,特别是考虑到神经症状.
- 正常细胞性贫血很常见,这表明临床医生不应该仅仅依靠巨细胞症来诊断.
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