Table 4.
Comparison of hematological parameters between fetuses of 4 different α-thalassemia genotypes.
Items | α-thalassemia silent carrier (one alpha-gene defect) | α-thalassemia trait (two alpha-gene defects) | α-thalassemia intermedia (three alpha-gene defects) | α-thalassemia major (four alpha-gene defects) (69 cases) | Pd value | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
(-α/αα) (10 cases) | (αTα/αα) (5 cases) | Pa value | (--/αα) (28 cases) | (αTα/αTα) (3 cases) | Pb value | (--/-α) (14 cases) | (--/αTα) (7 cases) | Pc value | |||
Age (years) | 28.10 ± 5.11 | 26.00 ± 4.58 | 0.453 | 27.04 ± 5.70 | 29.00 ± 7.55 | 0.584 | 26.93 ± 6.82 | 26.29 ± 4.42 | 0.824 | 27.65 ± 5.37 | 0.961 |
Gestational age (weeks) | 29.20 ± 2.25 | 29.80 ± 2.95 | 0.667 | 28.11 ± 2.38 | 28.67 ± 1.53 | 0.695 | 29.64 ± 2.82 | 27.43 ± 4.50 | 0.181 | 28.67 ± 2.25 | 0.484 |
HbF (%) | 91.38 ± 2.59 | 91.72 ± 4.07 | 0.846 | 83.37 ± 5.62 | 84.37 ± 5.62 | 0.872 | 61.84 ± 10.40 | 61.61 ± 10.39 | 0.964 | – | < 0.001 |
HbA (%) | 8.00 ± 2.40 | 7.22 ± 3.44 | 0.614 | 9.95 ± 3.66 | 6.57 ± 1.79 | 0.128 | 12.34 ± 3.56 | 10.17 ± 2.98 | 0.182 | – | 0.005 |
Hb Barts (%) | 0.62 ± 0.53 | 1.33 ± 0.78 | 0.081 | 4.43 ± 2.31 | 7.87 ± 5.72 | 0.044 | 21.80 ± 2.28 | 26.97 ± 8.58 | 0.044 | 86.70 ± 3.48 | < 0.001 |
RBC (10*12/L) | 4.27 ± 1.27 | 3.45 ± 0.26 | 0.185 | 3.97 ± 0.64 | 2.96 ± 1.55 | 0.032 | 4.11 ± 0.50 | 2.71 ± 0.49 | < 0.001 | 3.02 ± 0.57 | < 0.001 |
Hb (g/L) | 131.40 ± 11.15 | 119.80 ± 8.70 | 0.064 | 119.82 ± 19.10 | 87.67 ± 37.69 | 0.017 | 99.86 ± 11.00 | 73.71 ± 14.48 | < 0.001 | 69.96 ± 11.39 | < 0.001 |
HCT (%) | 44.44 ± 12.28 | 37.18 ± 2.80 | 0.222 | 39.15 ± 6.38 | 30.13 ± 10.83 | 0.037 | 35.46 ± 3.81 | 27.11 ± 2.72 | < 0.001 | 29.65 ± 4.85 | < 0.001 |
MCV (fL) | 104.72 ± 4.61 | 107.90 ± 3.66 | 0.204 | 98.77 ± 4.95 | 112.20 ± 31.27 | 0.027 | 86.41 ± 3.73 | 101.93 ± 13.87 | 0.001 | 98.69 ± 7.76 | < 0.001 |
MCH (pg) | 32.14 ± 5.21 | 34.80 ± 0.73 | 0.285 | 30.25 ± 1.51 | 31.37 ± 5.31 | 0.369 | 24.30 ± 0.88 | 27.49 ± 4.24 | 0.012 | 23.21 ± 1.74 | < 0.001 |
MCHC (g/L) | 283.98 ± 77.43 | 322.40 ± 4.51 | 0.152 | 306.46 ± 10.20 | 284.67 ± 27.65 | 0.006 | 281.93 ± 0.90 | 270.00 ± 26.71 | 0.158 | 235.37 ± 11.53 | < 0.001 |
RDW (%) | 15.27 ± 1.29 | 16.08 ± 1.11 | 0.253 | 16.32 ± 1.65 | 21.83 ± 8.81 | 0.003 | 18.97 ± 2.11 | 21.37 ± 5.48 | 0.159 | 26.76 ± 5.25 | < 0.001 |
NRBCs (%) | 13.10 (9.90–17.90) | 18.40 (7.40–21.0) | 0.303 | 11.0 (5.03–23.30) | 212.80 (3.3–6312.3) | 0.001 | 16.45 (12.58–25.75) | 661.50 (309.60–2548.25) | 0.025 | 1540.7 (1055.75–2049.00 | < 0.001 |
Pa, Pb, Pc were the P values of comparison between (-α/αα) and (αTα/αα) group, (--/αα) and (αTα/αTα) group, (--/-α) and (--/αTα) group using Student's t test for all the hematological parameters except for the NRBCs using Mann–Whitney test, respectively. Pd were the P values of comparision among all the α subgroups using Student's t test for all the hematological parameters except for the NRBCs using Mann–Whitney test. Significant differences (P < 0.05) are indicated in bold.