唇腭裂患者的贫血状况研究
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南京医科大学科技发展基金资助(NY32008008)


Study on the anemia status of the patients with cleft lip and palate
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    目的:了解唇腭裂患者的贫血状况,分析影响其贫血率的因素,为采取有效措施预防其发生贫血提供依据-方法:对2007年1月至2008年11月期间,在南京医科大学附属口腔医院治疗的346例唇腭裂患者进行调查统计分析,同时跟踪调查唇腭裂各项修复均在该院进行的12例患者修复前后红细胞(rbc)和血红蛋白(hgb)的变化-结果:将346例患者按畸型及治疗程度分为唇腭裂组(a)-单纯唇裂组(b)-腭裂组(c)和唇腭裂修复后组(d),各组的贫血率分别为43.6%-40.5%-19.7%和17.0%,其中a-b组贫血率均高于d组,但c组与d组贫血率无统计学差别-进行性别和城乡构成比标化后,除d组外,其它各组贫血率均高于该组段平均年龄对应的中国居民贫血率-未完全修复的唇腭裂患者的贫血率与性别和城乡差别之间无明显依存关系-在所有患者中,贫血81例,属小细胞低色素贫血的患者有44例,占54.3%-12例跟踪调查的唇腭裂患者,完全修复后hgb有显著性提高,rbc平均值修复前后均在正常范围内-结论:唇腭裂患者贫血的可能性增加,且贫血的主要类型为小细胞低色素贫血-应该对唇腭裂患者,尤其是较小年龄患者的家庭进行科学喂养的广泛宣传,并让他们注重含铁物质的摄入-

    Abstract:

    objective:to know the anemia status of patients with cleft lip and palate,further analyze certain specific related factors with their anemia prevalence,as well as furnish evidence for prevention to anemia. Methods:346 patients with cleft lip and palate who had received operation in stomatology hospital affiliated to njmu from january 2007 to november 2008,were analyzed statistically. The changes of rbc and hgb between before restoration and after restoration of 12 patients whose operations were all conducted in this hospital were also investigated. Results:according to the deformity type and restoration level,346 patients with cleft lip and palate are divided into 4 groups:cleft lip and palate group (a),cleft lip group (b),cleft palate group (c) and after restoration group (d). The anemia prevalence rates of these groups are 43.6%,40.5%,19.7% and 17.0%,respectively. The anemia prevalence rates of group a and group b are all higher than that of group d,and the anemia prevalence rates of group c and group d have no difference statistically. After standardization of urban-rural and gender composition,the anemia prevalence rates of group a,group b and group c,are all higher than that of chinese population in a same age group. The anemia prevalence rate of patients whose cleft lip and palate have not been restored completely did not obviously depend on the urban-rural and gender differences. In all the patients with cleft lip and palate,there were 81 anemia patients. In the 81 anemia patients,there were 44 microcytic hypochromic anemia patients. In 12 patients,the values of hgb increased significantly and the average values of rbc were in normal range when they were restored completely. Conclusion:the cleft lip and palate enhance the possibility of anemia,and the main type of anemia is microcytic hypochromic anemia. Scientific feed fashion should be widely published in the family of the patients with cleft lip and palate,especially when the patients are young,and let them pay attention to iron-content food intake.

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顾 宁,代 冲,吴姗姗.唇腭裂患者的贫血状况研究[J].南京医科大学学报(自然科学版),2009,29(9):1265-1269

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  • 收稿日期:2009-03-13
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