Volume 43 Issue 8
Aug.  2022
Turn off MathJax
Article Contents
XIE Shenwei, XU Ke, DONG Ming, SHI Junyi, CAO Jiujian, DONG Huaping, WU Yu, LI Peng, XIE Jiaxin. Routine blood test results of Tibetan children and adolescents in plateau areas[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1235-1240. doi: 10.16835/j.cnki.1000-9817.2022.08.026
Citation: XIE Shenwei, XU Ke, DONG Ming, SHI Junyi, CAO Jiujian, DONG Huaping, WU Yu, LI Peng, XIE Jiaxin. Routine blood test results of Tibetan children and adolescents in plateau areas[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1235-1240. doi: 10.16835/j.cnki.1000-9817.2022.08.026

Routine blood test results of Tibetan children and adolescents in plateau areas

doi: 10.16835/j.cnki.1000-9817.2022.08.026
  • Received Date: 2022-02-17
  • Rev Recd Date: 2022-04-24
  • Available Online: 2022-08-24
  • Publish Date: 2022-08-25
  •   Objective  To investigate routine blood test results and secular changes among Tibetan children and adolescents aged from 3 to 19 in the plateau, and to provide the basis for reference range of routine blood test for this population.  Methods  A total of 1 568 Tibetan children and adolescents aged from 3 to 19 living in Shigatse, Tibet were selected by cluster random sampling method. Routine blood test results and its secular trends were compared by age and gender.  Results  Significantly differences were found in red blood cell(RBC), hemoglobin(HGB), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin(MCH), white blood cell(WBC), neutrophil(NEU), neutrophil percentage (NEU%), lymphocyte(LYM), lymphocyte percentage(LYM%), monocyte percentage(MON%), eosinophil percentage(EOS%), basophil percentage(BAS%) and platelet(PLT) among the four age groups of 3-5, 6-12, 13-15, and 16-19 years (F/H=60.22, 179.41, 249.45, 115.03, 74.90, 14.33, 33.46, 78.90, 49.20, 97.29, 24.45, 24.28, 42.65, 20.10, P < 0.05). Among red blood cell indexes, RBC, HGB, HCT, MCH increased with age in boys(F=148.77, 493.04, 623.14, 249.92, P < 0.05), but there was no similar trend in girls(F=1.37, 0.15, 2.94, 0.11, P>0.05). HCT showed significant sex differences among the four age groups of 3-5 years, 6-12 years, 13-15 years, and 16-19 years [(41.33±2.31)% vs (41.98±2.40)%; (43.28±2.60)% vs (43.75±2.36)%; (46.20±3.11)% vs (44.83±2.67)%; (51.10±4.15)% vs (43.61±4.70)%, t=-2.10, -2.88, 3.50, 10.82, P < 0.05]. WBC, NEU, NEU%, LYM, LYM%, monocyte(MON), and MON% increased significantly with age in both boys and girls (P < 0.05). From the age of 12 to 13, RBC, HGB and HCT in Tibetan male and female adolescents showed an opposite trend and widened gradually.  Conclusion  Red blood cell index shows significantly different trends among Tibetan adolescents and children of different ages and genders. Regional nationality, age, gender, and other factors should be considered when developing the reference value range of blood routine index.
  • loading
  • [1]
    王红. 血常规检测的临床意义分析与研究[J]. 青岛医药卫生, 2013, 45(2): 140-141. doi: 10.3969/j.issn.1006-5571.2013.02.028

    WANG H. Analysis and study on clinical significance of blood routine examination[J]. Qingdao Med J, 2013, 45(2): 140-141. doi: 10.3969/j.issn.1006-5571.2013.02.028
    [2]
    WEI Y, SONG Z, DAN L, et al. Establishment of reference intervals for blood cell analysis of adult Tibetan farmers and herdsmen over 4100 meters above sea level in Tibet based on a health survey[J]. High Alt Med Biol, 2020, 21(3): 223-231. doi: 10.1089/ham.2020.0006
    [3]
    LI C, LI X, LIU J, et al. Investigation of the differences between the Tibetan and Han populations in the hemoglobin-oxygen affinity of red blood cells and in the adaptation to high-altitude environments[J]. Hematology, 2018, 23(5): 309-313. doi: 10.1080/10245332.2017.1396046
    [4]
    宋佳琪, 马振, 曾泽, 等. 某部长期驻4 500 m高原官兵血常规及血生化检查特点分析[J]. 人民军医, 2021, 64(9): 801-804. doi: 10.3969/j.issn.1000-9736.2021.09.001

    SONG J Q, MA Z, ZENG Z, et al. Analysis on the characteristics of blood routine and blood biochemical examination of officers and soldiers stationed at 4 500 m plateau for a long time[J]. People's Military Surgeon, 2021, 64(9): 801-804. doi: 10.3969/j.issn.1000-9736.2021.09.001
    [5]
    国家卫生部. 血细胞分析参考区间: WS/T 405-2012[S]. 北京: 中国标准出版社, 2013.

    Ministry of Health of the PRC. Reference intervals for blood cell analysis: WS/T 405-2012[S]. Beijing: Standards Press of China, 2013.
    [6]
    国家卫生健康委员会. 儿童血细胞分析参考区间: WS/T 779-2021[S]. 北京: 中国标准出版社, 2021.

    National Health Commission of the PRC. Reference intervals of blood cell analysis for children: WS/T 779-2021[S]. Beijing: Standards Press of China, 2021.
    [7]
    次仁潘多. 西藏不同海拔高度世居藏族和移居人群高原适应不全的流行病学调查与分子机制研究[D]. 拉萨: 西藏大学, 2017.

    CIREN P D. Epidemiological investigation and molecular mechanism of altitude maladjustment of native Tibetans and immigrants at different altitudes in Tibet[D]. Lhasa: Tibet University, 2017.
    [8]
    TAHMASEBI H, HIGGINS V, BOHN M K, et al. CALIPER hematology reference standards (I)[J]. Am J Clin Pathol, 2020, 154(3): 330-341. doi: 10.1093/ajcp/aqaa059
    [9]
    DING Y, ZHOU L, XIA Y, et al. Reference values for peripheral blood lymphocyte subsets of healthy children in China[J]. J Allergy Clin Immunol, 2018, 142(3): 970-973. doi: 10.1016/j.jaci.2018.04.022
    [10]
    鲁道远, 张驰. 武汉地区0~12岁健康儿童血常规检验项目参考区间调查[J]. 中国妇幼保健, 2020, 35(11): 2068-2073.

    LU D Y, ZHANG C. Investigation on reference interval of blood routine test items of healthy children aged 0~12 years in Wuhan[J]. Matern Child Health Care China, 2020, 35(11): 2068-2073.
    [11]
    ANGELO D, TRAVIS N, KAIQI S, et al. Altitude omics: red blood cell metabolic adaptation to high altitude hypoxia[J]. J Proteom Res, 2016, 15(10): 3883-3895. doi: 10.1021/acs.jproteome.6b00733
    [12]
    REN Q, LV X, YANG L, et al. Erythrocytosis and performance of HbA1c in detecting diabetes on an oxygen-deficient plateau: a population-based stud[J]. J Clin Endocrinol Metab, 2020, 105(4): dgaa001.
    [13]
    LUO X, FENG L, BAI X J, et al. Continuous changes in biological levels of complete blood count in a high altitude area of China[J]. SAGE Open Med, 2020, 8: 1-7.
    [14]
    GASSMMAN M, MAIRBAURL H, LIVSHITS L, et al. The increase in hemoglobin concentration with altitude varies among human populations[J]. Ann N Y Acad Sci, 2019, 1450(1): 204-220.
    [15]
    谢慎威, 陈波, 刘秉林, 等. 不同海拔高原习服汉族与世居藏族的血常规比较研究[J]. 西南国防医药, 2019, 29(7): 781-783. doi: 10.3969/j.issn.1004-0188.2019.07.021

    XIE S W, CHEN B, LIU B L, et al. Comparison of the routine blood indexes between acclimatized Han population and native Tibetan at different high altitudes[J]. Med J Natl Defend Forces Southwest China, 2019, 29(7): 781-783. doi: 10.3969/j.issn.1004-0188.2019.07.021
    [16]
    高原, 邹琛, 蒋婕, 等. 上海市526例1~12岁儿童静脉血血常规正常参考区间建立[J]. 国际检验医学杂志, 2015, 36(16): 2332-2334. doi: 10.3969/j.issn.1673-4130.2015.16.017

    GAO Y, ZOU C, JIANG J, et al. Determination of normal reference ranges for venous blood count among 526 children aging from 1 year old to 12 years old in Shanghai[J]. Int Lab Med, 2015, 36(16): 2332-2334. doi: 10.3969/j.issn.1673-4130.2015.16.017
    [17]
    李秀娟, 张炎胜, 蔡建兴. 厦门地区8 492名儿童末梢血血细胞参数参考区间的建立[J]. 检验医学, 2017, 32(6): 504-507. doi: 10.3969/j.issn.1673-8640.2017.06.013

    LI X J, ZHANG Y S, CAI J X. Establishment of reference interval for peripheral blood cell parameters of 8492 children in Xiamen[J]. Lab Med, 2017, 32(6): 504-507. doi: 10.3969/j.issn.1673-8640.2017.06.013
    [18]
    肖军, 李小薇, 雷慧芬, 等. 高原环境对人外周血细胞的影响[J]. 中国输血杂志, 2017, 30(8): 870-872.

    XIAO J, LI X W, LEI H F, et al. Effects of high altitude environment on human peripheral blood cells[J]. Chin J Blood Transfus, 2017, 30(8): 870-872.
    [19]
    KHANNA K, MISHRA K P, GANJU L, et al. High-altitude-induced alterations in gut-immune axis: a review[J]. Int Rev Immunol, 2018, 37(2): 119-126. doi: 10.1080/08830185.2017.1407763
    [20]
    BACHMAN E, TRAVISION T G, BASARIA S, et al. Testosterone induces erythrocytosis via increased erythropoietin and suppressed hepcidin: evidence for a new erythropoietin/hemoglobin set point[J]. J Gerontol A Biol Sci Med Sci, 2014, 69(6): 725-735. doi: 10.1093/gerona/glt154
    [21]
    SANDEEP D, HUSAM G, MANAV B, et al. Effect of testosterone on hepcidin, ferroportin, ferritin and iron binding capacity in patients with hypogonadotropic hypogonadism and type 2 diabetes[J]. Clin Endocrinol(Oxf), 2016, 85(5): 772-780. doi: 10.1111/cen.13130
    [22]
    GONZALES G F. Hemoglobin and testosterone: importance on high altitude acclimatization and adaptation[J]. Rev Peru Med Exp Salud Public, 2011, 28(1): 92-100. doi: 10.1590/S1726-46342011000100015
    [23]
    NGUYEN L, WANG Z, CHOWDHURY A Y, et al. Functional compensation between hematopoietic stem cell clones in vivo[J]. Embo Rep, 2018, 19(8): e45702.
    [24]
    KIERS D, TUNJUNGPUTRI R N, BORKUS R, et al. The influence of hypoxia on platelet function and plasmatic coagulation during systemic inflammation in humans in vivo[J]. Platelets, 2019, 30(7): 927-930. doi: 10.1080/09537104.2018.1557617
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(6)  / Tables(2)

    Article Metrics

    Article views (354) PDF downloads(23) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return