首页|右旋糖酐铁分散片与琥珀酸亚铁片治疗妊娠期缺铁性贫血的效果及对患者生化指标的影响

右旋糖酐铁分散片与琥珀酸亚铁片治疗妊娠期缺铁性贫血的效果及对患者生化指标的影响

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目的 探究右旋糖酐铁分散片与琥珀酸亚铁片治疗妊娠期缺铁性贫血(IDA)的效果及对患者生化指标的影响.方法 选取聊城市东昌府区妇幼保健院产科门诊2021年1月—2022年12月收治的300例妊娠期IDA患者为研究对象,按照随机数字表法将其分为对照组和观察组.对照组(n=150)采用右旋糖酐铁分散片治疗,观察组(n=150)采用琥珀酸亚铁片治疗.比较两组患者的血常规指标、铁代谢指标、临床疗效及不良反应发生情况.结果 治疗6周后,观察组的红细胞计数、红细胞平均体积、平均血红蛋白量、血细胞比容、血红蛋白水平分别为(4.46±0.63)×1012/L、(91.70±8.16)fl、(31.58±4.63)pg、(36.20±5.20)%、(104.48±8.93)g/L,均高于对照组的(3.28±0.45)×1012/L、(79.63±6.92)fl、(25.94±4.10)pg、(31.78±4.16)%、(98.69±7.87)g/L,组间差异有统计学意义(P<0.05).治疗6周后,观察组的血清铁、铁蛋白水平分别为(10.27±1.03)μmol/L、(19.65±3.34)μg/L,均高于对照组的(8.53±0.84)μmol/L、(13.40±2.05)μg/L,组间差异有统计学意义(P<0.05).观察组的临床总有效率为96.67%,高于对照组的80.00%,差异有统计学意义(P<0.05).观察组的不良反应发生率为8.00%,高于对照组的2.67%,差异有统计学意义(P<0.05).结论 右旋糖酐铁分散片、琥珀酸亚铁片均有助于改善妊娠期IDA患者的生化指标,但后者的效果更好,前者的安全性更高,副作用小.
Effect of Iron Dextran Dispersible Tablets and Ferrous Succinate Tablets in the Treatment of Iron Deficiency Anemia During Pregnancy and Its Influence on Patients' Biochemical Indexes
Objective To investigate the effect of iron dextran dispersible tablets and ferrous succinate tablets in the treatment of iron deficiency anemia (IDA) during pregnancy and its influence on patients' biochemical indexes.Methods Three hundred patients with IDA during pregnancy admitted to the Obstetrics Clinic of Dongchangfu District Maternal and Child Health Hospital in Liaocheng City from January 2021 to December 2022 were selected as the research sobjects and were divided into a control group and an observation group according to random number table method.The control group (n=150) was treated with iron dextran dispersible tablets, and the observation group (n=150) was treated with ferrous succinate tablets.The blood routine indexes, iron metabolism indexes, clinical efficacy and adverse reactions were compared between the two groups.Results After 6 weeks of treatment, the levels of red blood cell count, mean red blood cell volume, mean red blood cell hemoglobin, hematocrit and hemoglobin in the observation group were (4.46 ±0.63) ×1012/L, (91.70 ±8.16)fl, (31.58 ±4.63)pg, (36.20±5.20)%, (104.48±8.93)g/L, respectively, which were higher than (3.28±0.45)×1012/L, (79.63±6.92)fl, (25.94±4.10)pg, (31.78±4.16)%, (98.69±7.87)g/L in the control group, and the differences between the groups were statistically significant (P<0.05).After 6 weeks of treatment, the serum iron and serum ferritin levels in the observation group were (10.27 ±1.03)μmol/L and (19.65±3.34)μg/L, respectively, which were higher than (8.53±0.84)μmol/L and (13.40±2.05)μg/L in the control group, and the differences between the groups were statistically significant (P<0.05).The total clinical effective rate of the observation group was 96.67%, higher than 80.00%of the control group, the difference was statistically significant (P<0.05).The incidence of adverse reactions in the observation group was 8.00%, higher than 2.67% in the control group, and the difference was statistically significant ( P<0.05 ).Conclusion Iron dextran dispersible tablets and ferrous succinate tablets can improve the biochemical indexes of IDA patients during pregnancy, but the latter has better effect, the former has higher safety and less side effects.

Iron deficiency anemiaPregnancyIron dextran dispersible tabletsFerrous succinate tablets

于倩倩、肖凤芹

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聊城市东昌府区妇幼保健院围产医学科,山东聊城 252000

聊城市东昌府区妇幼保健院,山东聊城 252000

缺铁性贫血 妊娠 右旋糖酐铁分散片 琥珀酸亚铁片

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)