广西地区104例泰国缺失型α-地中海贫血1的探讨 [泰语论文]

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作  者:陈文强[1] 陈萍[1] 丘玉铃[1] 谢湘芝[1] 肖璇[1] CHEN Wen-qiang,CHEN Ping,QIU Yu-ling,XE Xiang-zhi,XIAO Xuan(The center of medical scientific experiment of Guangxi Medical University, Key lab of Thalassemia, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, Ctu'na )

机构地区[1]广西医科大学医学科学实验中心广西医科大学第一附属医院广西地中海贫血防治重点实验室,广西南宁530021

出  处:《现代生物医学进展》2017年第24期4649-4652,共4页Progress in Modern Biomedicine

基  金:广西省自然科学基金项目(2017GXNSFA018251);广西地方性高发疾病防治探讨重点实验室开放课题基金项目(KFJJ2017-38)

摘  要:目的:对广西地区泰国缺失型α-地中海贫血1的血液学、基因型、临床表现及民族分布进行略论。措施:对门诊病人进行血常规、血红蛋白电泳及-地中海贫血基因略论,收集已确诊为泰国缺失型α-地中海贫血1患者的检测数据及临床资料,并用SPSS统计软件对以上数据进行统计略论。结果:共检出104例泰国缺失型α-地中海贫血1,其中71例基因型为--THAI/αα,17例基因型为--THAI/-α3.7,14例基因型为--THAI/αCSα,2例基因型为--THAI/αQSα。统计学略论:--THAI/αα杂合子和--SEA/αα杂合子的血常规结果比较没有统计学意义,P〉0.05;泰国型Hb H病(--THAI/-α3.7、--THAI/αCSα、--THAI/αCSα)和东南亚型Hb H病(--SEA/-α3.7、--SEA/αCSα)的血常规结果比较有统计学意义,P〈0.01;民族分布上,有67例为壮族,34例为汉族,其他民族3例。结论:泰国缺失型-地中海贫血1在广西有一定的发生率,在壮族人群多见;和东南亚缺失型Hb H病相比,泰国缺失型Hb H病出现临床症状的时间更早、贫血更严重。Objective: To analyze hematology, genotype, phenotype and ethnic distribution of Thai type deletions thalassemia in Guangxi region. Methods: The outpatient’s blood, hemoglobin and-thalassemia genotype was detected and these data were collected and analyzed. Results: 104 cases of Thai type deletions thalassemia were detected, including 71 cases of--Thai/αα, 17 cases of-THAI/-α3.7, 14 cases of--THAI/αCSα, 2 cases of--THAI/αQSα; statistically significant difference were not fund between--THAI/αα and--SEA/αα in blood test, P〉0.05,statistically significant difference were found between Thai type deletions Hb H disease(--THAI/-α3.7,--THAI/αCSα,--THAI/αQSα) and Southeast Asia deletions type Hb H disease(--SEA/-α3.7,--SEA/αCSα), P〈0.01. The ethnic distribution were found in 67 cases of Zhuang, 34 cases of Han, three cases of other ethnics. Conclusion: Thai type deletions thalassemia has a certain incidence in Guangxi, most of Zhuang people.Compared to Southeast deletions Hb H disease, Thai type deletions Hb H disease(--Thai/αCSα) showed an earlier, severe symptoms of anemia.

关 键 词:地中海贫血 泰国缺失型 HB H病 壮族 

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