老年性贫血的诊疗进展  

Progress in Diagnosis and Treatment of Senile Anemia

作　　者：和予馨[1] 金晶纯[2] HE Yuxin;JIN Jingchun(Department of Critical Care Medicine,the First Hospital of China Medical University,Shenyang 110001,China;Department of Blood Transfusion,the First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院重症医学科,沈阳110001 [2]中国医科大学附属第一医院输血科,沈阳110001

出　　处：《医学综述》2024年第5期581-587,共7页Medical Recapitulate

摘　　要：老年人由于生理功能退化而易罹患多种疾病,其贫血发生率很高。血常规、铁代谢指标、骨髓检测、促红细胞生成素测定等常规实验室检测有助于贫血的诊断、病因鉴别及治疗指导。但老年性贫血的实验室诊断标准及治疗策略与成年人贫血并不完全一致,有其特殊性,需要特别注意。虽然针对病因的药物及输血治疗可以改善大部分老年性贫血患者的临床症状,但仍有部分病因混杂或病因不明的老年性贫血患者预后不良。未来深入开展针对这部分老年性贫血的病因查找及新开发药物的应用研究,有助于改善老年性贫血的治疗效果。The elderly are susceptible to many diseases due to physiological function degeneration,and the incidence of anemia is very high.Routine blood test,iron metabolism index,bone marrow test,erythropoietin test and other routine laboratory tests are helpful for the diagnosis,cause identification and treatment guidance of anemia.However,the laboratory diagnostic criteria and treatment strategies of senile anemia are not completely consistent with those of adult anemia,which has its own particularity and needs special attention.Although etiological drugs and blood transfusion therapy can improve the clinical symptoms of most anemia in the elderly,there are still some senile anemia with mixed etiology or unknown etiology with poor prognosis.In the future,conducting in-depth research on the causes of such senile anemia and the application of newly developed drugs will help to improve the therapeutic effect of senile anemia.

关 键 词：贫血 老年人 病因 实验室检测 治疗 输血 

分 类 号：R556[医药卫生—血液循环系统疾病]