AIM:The specific aim of the study was to determine the correlation between the severity of pathology, the amount of blood removed for diagnostic purposes in the 1st week of life and the incidence of early anaemia in very low birth weight (VLBW) infants. METHODS:We recorded the level of haemoglobin (Hb) and haematocrit (Ht) in each of the 50 infants entered in the study at their admission in our neonatal intensive care unit (NICU) and at the age of 8 days. We quantified for each infant the blood drawn for clinical purpose during the 1(st)week of life, using microanalytic techniques for all types of analysis performed. Using the neonatal therapeutic intensive score system (NTISS) we divided all patients into 2 groups: group A= mild light pathology; group B= severe pathology. RESULTS:There was statistically significant difference between the percent decrease of Hb and Ht with reference to the birth weight in the 2 groups. Logistic regression analysis indicated a strong correlation (P = 0.009) between higher degree of illness severity and higher percent decrease of Hb and Ht. The difference due to the amount of phlebotomy losses was not significant. CONCLUSIONS:To our knowledge, this study is the first that strongly suggest that phlebotomy losses is not the main cause of anaemia in VLBW preterm infants in the 1st week of life, when a policy of strictly attention to the amount of blood removed is performed.

译文

目的:该研究的具体目的是确定病理严重程度,生命的第一周用于诊断目的的采血量与极低出生体重(VLBW)婴儿的早期贫血发生率之间的相关性。
方法:我们记录了入院新生儿重症监护病房(NICU)以及8天大的50例婴儿中每人的血红蛋白(Hb)和血细胞比容(Ht)的水平。我们使用微分析技术对每位婴儿在生命的第一(st)周内抽取的用于临床目的的血液进行了定量分析,以进行所有类型的分析。使用新生儿治疗密集评分系统(NTISS),我们将所有患者分为两组: B组=严重病理。
结果:相对于出生体重,两组的Hb和Ht降低百分比存在统计学差异。 Logistic回归分析表明,较高的疾病严重程度与较高的Hb和Ht降低百分比之间有很强的相关性(P = 0.009)。由于放血损失量的差异不明显。
结论:据我们所知,该研究是第一个强烈建议放血切开不是出生第一周内VLBW早产儿贫血的主要原因,这是一项严格注意采血量的政策。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录