ĐÁNH GIÁ SỰ THAY ĐỔI CỦA MỘT SỐ CHỈ SỐ TẾ BÀO MÁU NGOẠI VI Ở BỆNH NHÂN TRƯỚC VÀ TRONG VÒNG 3 THÁNG ĐẦU SAU GHÉP THẬN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: Survey the changes in some peripheral blood cell indices in patients before and 3 months after kidney transplant in Bach Mai Hospital between 2018 and 2023 and evaluate some related factors. Object and research methods: Cross-sectional, retrospective and prospective study on 115 patients who got their kidney transplanted and were under Bach Mai Hospital’s supervision from 2018 to 2023. Results: Increase in the red blood cell count: From 3,8±0,634 (T/1) before kidney transplant, 3 months after transplant: 4,48±0,7 (T/1). Decrease in the rate of anemic patients: From 83.2% before kidney transplant to 33.6% 3 months after transplant. Posttransplant erythrocytosis after kidney transplant a month and 3 months were 0.9% and  9.6% (men: 12%; women: 3%). Slight increase in white blood cell count: From 8.15±8.13 (G/1) before kidney transplant to 8,6±3,1 (G/1) 3 months after transplant. Insignificant rise in platelet count: From 232±76,4 (G/1) before kidney transplant to 263,7±67,7 (G/1) 3 months after transplant. Some factors relate to hematological changes are kidney function, Hepatitis B, C, sex,… etc. Conclusions: Changes within the first 3 months after kidney transplant are mainly post-transplantation anemia, other changes account for a low proportion. Therefore, periodic monitoring of peripheral blood cells after kidney transplant is extremely necessary to predict, evaluate and intervene early in reducing possible risks after kidney transplant