静脉补充铁剂一周疗效分析  

The therapeutic effect for addition Intravenous iron agent a week

作　　者：董志高[1] 苏俊男 陈旭艳[1] 李华[1] 肖萍萍[1] 范薇[1] DONG Zhigao;SU Junnan;CHEN Xuyuan;LI Hau;XIAO Pingping;FAN Wei(Department of haematology, the second hospital of Xiamen, Xiamen, Fujian 361021)

机构地区：[1]厦门市第二医院血液科,福建厦门361021

出　　处：《新疆医学》2018年第3期318-320,共3页Xinjiang Medical Journal

摘　　要：目的探讨静脉补充铁剂起效时间,从而更好、更及时评估疗效,更准确指导临床。方法分析本科2015年4月-2016年8月确诊为缺铁性贫血患者94例,分成2组,静脉补充蔗糖铁组48例,为治疗组,口服补充多糖铁复合物组46例,为对照组。分别于第4 d、第7 d行血常规检查,与初治血红蛋白对照。结果两组病例第4 d、第7 d按张之南编第三版《血液病诊断及效疗标准》,疗效与初治相比,无一例病例无效,但与初治血红蛋白相比,统计学有显著差异,P为分别为0.0003及<0.0001,两组第4 d血红蛋白上升程度无统计学意义(P=0.6793),治疗第7 d,治疗组与对照组血红蛋白上升程度有统计学意义(P=0.0001)。结论静脉补铁与口服补铁血红蛋白上升均在早期有上升趋势,静脉补铁较口服补铁起效更快,耐受性更好。Objective Investigation the onset time for addition Intravenous iron agent,So as to better and more timely evaluation of therapeutic effect,and can offer A more accurate clinical guidance.Methods To analyze our department 94 eases those were final diagnosis for iron deficiency anemia,48 eases were Intravenous iron agent,46 cases were Oral iron agert,all eases examinate the blood routine in the fourth day and the seventh day after addition iron agent,then matched the blood routine of initial treatment.Resdt All eases were inefficiency matched the initial treatment in the fourth day and the seventh day according to the third edition of "standard of blood diseases diagnosis and effective treatment" maked up by zhang zhinan,but compared with the initial hemoglobin,had significant deviation in statistics（P=-0.0003and P〈0.0001）.and the rosing of Hemoglobin have no deviation in statistics（P=0.6793）.but in the seventh day,the rosing of Hemoglobin have deviation in statistics（P=-O.OOO1）.Conclusion Intravenous iron than oral iron work faster and better tolerability.

关 键 词：血红蛋白 静脉 口服 蔗糖铁 缺铁性贫血 

分 类 号：R453.9[医药卫生—治疗学]