RESEARCH ON CHANGES OF IRON AND SERUM FERRITIN IN CIRRHOTIC PATIENTS AT THAI NGUYEN CENTRAL HOSPITAL

Nguyễn Thị Ngọc Hà1,, Vũ Thị Thu Hằng1, Bùi Thị Thu Hương1, Lâm Thị Thu Hương1
1 Thai Nguyen University of Medicine and Pharmacy

Main Article Content

Abstract

Objectives: To determine the changes in serum iron and ferritin in patients with cirrhosis and to analyze the relationship between the changes in iron and serum ferritin with the clinical of cirrhosis. Subjects & methods: 94 cirrhotic patients treated at Thai Nguyen Central Hospital were divided into 3 groups of cirrhosis caused by hepatitis B virus, alcoholic cirrhosis, alcoholic cirrhosis and HBV infection. The patient was examined and had hematological and biochemical tests (iron, ferritin, albumin, prothrombin), HCV, HBV. Research results: Serum ferritin levels in all 3 groups caused by hepatitis virus, alcohol abuse and the group combines the above 2 reasons were mainly at normal and high levels, almost no ferritin at low levels (p>0.05). The mean serum iron concentration was high in the group of patients with hepatitis due to combined causes (p<0.05). Serum iron and ferrin concentrations were increased in Child Pugh B and C stages, especially in the cirrhosis group of combined causes. There was no association between serum iron, ferritin and anemia. Patients with high ferritin concentration were mainly seen in the group with decreased albumin. Decrease in serum iron is not associated with decreased albumin. Decreased prothrombin was associated with decreased serum iron, increased serum ferritin (p>0.05). Conclusion: Most patients with cirrhosis have elevated serum iron and ferritin

Article Details

References

1. Đặng Thị Kim Oanh (2007), "Nhận xét sự thay đổi sắt và ferritin huyết thanh ở bệnh nhân xơ gan", Tạp chí Khoa họctiêu hóa Việt Nam, tập II, số 5, tr. 291- 295
2. Đoàn Thị Phương Lam (2003) Nhận xét sự thay đổi sắt và ferritin huyết thanh ở bệnh nhân xơ gan. Khóa luận tốt nghiệp bác sỹ y khoa, Trường Đại học Y Hà Nội
3. Phạm Văn Nhiên (2002) "Nghiên cứu đặc điểm lâm sàng, cận lâm sàng bệnh xơ gan do rượu tại khoa tiêu hóa bênh viên hữu nghị việt tiệp Hải Phòng". Tạp trí y học thực hành, tr425
4. Nguyễn Xuân Huyên (2000),"Xơ gan", Bách khoa thư bệnh học,Nhà xuất bản từ điển Bách khoa, tập 3, tr. 501
5. Nguyễn Xuân Tuấn (2014), “Nghiên cứu đặc điểm lâm sàng, xét nghiệm, nồng độ transferrin, ferritin, sắt ở bệnh nhân xơ gan do rượu và viêm gan B tại Khoa nội Tiêu hóa Bệnh viện việt tiệp”. Luận văn thạc sĩ.
6. Cristina Ripoll 1, Felix Keitel, et al (2015) Serum Ferritin in Patients With Cirrhosis is Associated With Markers of Liver Insufficiency and Circulatory Dysfunction, but Not of Portal Hypertension. J Clin Gastroenterol, 2015 Oct; 49(9):784-9.
7. Kosha J Mehta, Sebastien Je Farnaud, and Paul A Sharp (2019) Iron and liver fibrosis: Mechanistic and clinical aspects Journal List , World J Gastroenterol, v.25(5); 2019 Feb 7
8. G A Siregar1 and W Maail2 (2018) Serum iron parameters in liver cirrhosis. IOP Conference Series Earth and Environmental Science 125(1):012217 Mức độ Ferritin tăng lên khi lớp Child-Pugh tiến triển (p <0,001).