İlay GÖZÜKARA ÖZTÜRK, Murat POLAT, Suna Kabi KÜÇÜR, Beril YÜKSEL, Ali SEVEN, Halime ŞENCAN, HÜSEYİN DURUKAN

Yüksek rakımda yaşayan adölesan gebeliklerde maternal hemoglobin konsantrasyonunun değerlendirilmesi

Amaç: Adölesan ve yetişkin gebeliklerde hemoglobin (Hb) konsantrasyonlarını karşılaştırmakGereç ve Yöntem: Ağrı-Patnos Devlet Hastanesinde yapılan bu çalışmaya 679 hasta dahil edildi. Adölesan (yaş ≤ 19) grupta 119 (17,5%) hasta, kontrol (20 ve ≤ 39 yaş aralığı) grubunda 560 (82,5%) hasta yer aldı. Coulter Metod kullanılarak, otomatik hücre sayacı ile tam kan sayımı yapıldı.Bulgular: Ortalama Hb değeri adölesan grupta 12,87g/dL ± 1,1 (min:10 – max:15) ve kontrol grubunda 13,4g/dL ± 1,2 (min:11 – max:18) bulundu. Hb değerlerinin iki grup arasında istatistiksel olarak farklı olmadığı bulundu (p=0,3). Ortalama Hematokrit (Hct) seviyesi adölesan grupta %36,44 iken in kontrol grubunda %37,8 saptandı. Hct değerleri de her iki gruplar arasında istatistiksel fark göstermedi(p=0,7).Sonuç: Hb ve Hct değerleri açısından adölesan ve yetişkin gebeler arasında farklılık bulunmadı. Her iki grupta yüksek rakım dahil edildiğinde de normal aralıkta Hb ve Hct seviyeleri saptandı.

Anahtar Kelimeler:

Hemoglobin, adölesan, gebelik

Maternal hemoglobin concentrations of adolescent pregnant women in high altitude

Objective: The aim of this study was to compare the hemoglobin (Hb) levels between adolescent pregnant patients and control groupsMaterial and Method: This study is performed on Ağrı-Patnos State Hospital. 679 patients were enrolled into the study; 119 (17.5%) patients in the adolescent group (age ≤ 19) and 560 (82.5%) cases in the control group (age between 20 and ≤ 39). Complete Blood Count (CBC) was measured by automated cell counter with Coulter method.Results: Mean Hb level was 12.87g/dL ± 1.1(min: 10 - max: 15) in adolescent group and 13.4g/dL ± 1.2 (min: 11 - max: 18) in control group. There was no statistically significant difference between Hb levels of two groups (p=0.3) Mean Hematocrit level was 36.44% in adolescent group and 37.8% in control group. There was also no statistically significant difference between two groups (p=0.7).Conclusions: There was no significant difference between adolescent and control groups regarding to Hb and Hematocrit. Normal range Hb and hematocrit levels were found even the effect of high altitude was assayed.

Keywords:

Hemoglobin, adolescent, pregnancy,

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