首页|健脾生血方治疗小儿缺铁性贫血的疗效及对铁代谢的影响

健脾生血方治疗小儿缺铁性贫血的疗效及对铁代谢的影响

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目的 探讨健脾生血方在治疗小儿缺铁性贫血中的应用价值.方法 选取安徽中医药大学附属太和县中医院2022 年 10 月—2024 年 4 月收治的 80 例缺铁性贫血患儿为研究对象,按照随机数字表法将其分为对照组和观察组,各 40 例.对照组给予患儿右旋糖酐铁口服溶液治疗,观察组在对照组基础上加用健脾生血方治疗,两组均治疗3 个疗程.对比两组的临床疗效、铁代谢指标、血红蛋白、红细胞计数及不良反应发生情况.结果 观察组治疗总有效率为97.50%,高于对照组的 80.00%,差异有统计学意义(P﹤0.05);治疗后,观察组血清铁水平为(15.78±3.55)μmol/L,血清铁蛋白水平为(75.42±6.83)μg/L,血红蛋白水平为(131.53±6.73)g/L,红细胞计数为(5.45±0.53)×1012/L,均高于对照组的(11.47±2.93)μmol/L、(60.33±7.21)μg/L、(118.72±5.43)g/L、(4.15±0.72)×1012/L,组间差异有统计学意义(P﹤0.05);观察组总铁结合力水平为(63.53±2.14)μmol/L,低于对照组的(70.46±1.08)μmol/L,差异有统计学意义(P﹤0.05).两组不良反应发生率对比,差异无统计学意义(P﹥0.05).结论 健脾生血方治疗小儿缺铁性贫血效果显著,可改善患儿铁代谢指标,提升血红蛋白水平及红细胞计数,且不会增加不良反应.
Effect of Jianpi Shengxue Prescription on Iron Deficiency Anemia in Children and Its Influence on Iron Metabolism
Objective To explore the application value of Jianpi Shengxue prescription in the treatment of iron deficiency anemia in children.Methods Eighty children with iron deficiency anemia admitted to Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine from October 2022 to April 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group was treated with oral iron dextran solution,and the observation group was treated with Jianpi Shengxue prescription on the basis of the control group,both groups were treated for 3 courses of treatment.The clinical efficacy,iron metabolism indicators,hemoglobin,red blood cell count and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 97.50%,which was higher than 80.00%of the control group,and the difference was statistically significant(P﹤0.05).After treatment,the serum iron level in the observation group was(15.78±3.55)μmol/L,the serum ferritin level was(75.42±6.83)μg/L,the hemoglobin level was(131.53±6.73)g/L,the red blood cell count was(5.45±0.53)×1012/L,and the serum ferritin level was(75.42±6.83)μg/L,which were higher than(11.47±2.93)μmol/L,(60.33±7.21)μg/L,(118.72±5.43)g/L,(4.15±0.72)×1012/L in the control group,and the differences between the groups were statistically significant(P﹤0.05);the total iron binding capacity of the observation group was(63.53±2.14)μmol/L,which was lower than(70.46±1.08)μmol/L of the control group,and the difference was statistically significant(P﹤0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P﹥0.05).Conclusion Jianpi Shengxue formula has remarkable effect in the treatment of iron deficiency anemia in children.It can improve iron metabolism indicators,increase hemoglobin level and red blood cell count in children,and does not increase adverse reactions.

Iron deficiency anemia in childrenJianpi Shengxue prescriptionIron metabolismHemoglobinRed blood cell countAdverse reactions

颜鹏飞、田舒扬、张歌寻

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安徽中医药大学附属太和县中医院儿科,安徽 阜阳 236600

小儿缺铁性贫血 健脾生血方 铁代谢 血红蛋白 红细胞计数 不良反应

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(19)