首页|生血宝合剂联合琥珀酸亚铁片治疗缺铁性贫血的效果及对COX-1、COX-2表达的影响

生血宝合剂联合琥珀酸亚铁片治疗缺铁性贫血的效果及对COX-1、COX-2表达的影响

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目的 分析生血宝合剂联合琥珀酸亚铁片治疗缺铁性贫血的效果及对环氧化物酶-1(COX-1)、环氧化物酶-2(COX-2)表达的影响。方法 选择2019 年4月至2020 年11 月收治的 100 例缺铁性贫血患者作为研究对象,以随机数字表法将其分为对照组和观察组,各 50 例。对照组给予琥珀酸亚铁片治疗,观察组在对照组基础上加施生血宝合剂治疗。比较两组的治疗效果。结果 治疗前,两组的血清铁(SI)、转铁蛋白饱和度(TS)、血清铁蛋白(SF)、总铁结合力(TIBC)及可溶性血清转铁蛋白受体(sTfR)水平比较,差异无统计学意义(P>0。05);治疗后,观察组的SI、TS及SF水平高于对照组,TIBC、sTfR水平低于对照组(P<0。05)。治疗前,两组的COX-1、COX-2 表达水平比较,差异无统计学意义(P>0。05);治疗后,观察组的COX-1、COX-2表达水平高于对照组(P<0。05)。治疗前,两组的血小板计数(BPC)、平均血小板体积(MPV)及血小板分布宽度(PDW)比较,差异无统计学意义(P>0。05);治疗后,观察组的BPC、MPV及PDW低于对照组(P<0。05)。两组的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 生血宝合剂联合琥珀酸亚铁片治疗缺铁性贫血可调节COX-1、COX-2表达,改善血小板参数,促进铁代谢恢复,且安全性较高,值得推广。
Effect of Shengxuebao mixture combined with ferrous succinate tablets in the treatment of iron deficiency anemia and its influences on the expression of COX-1 and COX-2
Objective To analyze the effect of Shengxuebao mixture combined with ferrous succinate tablets in the treatment of iron deficiency anemia and its influences on the expression of cyclooxygenase-1(COX-1)and cyclooxygenase-2(COX-2).Methods A total of 100 patients with iron deficiency anemia admitted from April 2019 to November 2020 were selected as the research objects,and they were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was treated with ferrous succinate tablets,and the observation group was treated with Shengxuebao mixture on the basis of the control group.The therapeutic effects of the two groups were compared.Results Before treatment,there were no statistically significant differences in serum iron(SI),transferrin saturation(TS),serum ferritin(SF),total iron binding capacity(TIBC)and soluble transferrin receptor(sTfR)levels between the two groups(P>0.05);after treatment,the levels of SI,TS and SF in the observation group were higher than those in the control group,and the levels of TIBC and sTfR were lower than those in the control group(P<0.05).Before treatment,there were no statistically significant differences in COX-1 and COX-2 expression levels between the two groups(P>0.05);after treatment,COX-1 and COX-2 expression levels in the observation group were higher than those in the control group(P<0.05).Before treatment,there were no statistically significant differences in blood platelet count(BPC),mean platelet volume(MPV)and platelet distribution width(PDW)between the two groups(P>0.05);after treatment,the BPC,MPV and PDW in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Shengxuebao mixture combined with ferrous succinate tablets in the treatment of iron deficiency anemia can regulate the expression of COX-1 and COX-2,improve platelet parameters,promote the recovery of iron metabolism,and has high safety,which is worthy of promotion.

Shengxuebao mixtureferrous succinate tabletiron deficiency anemiairon metabolismplatelet parameter

王雪姣、李巧、王慧玲

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咸阳市第一人民医院,陕西 咸阳,712000

西安医学院第二附属医院,陕西 西安,710038

延安市人民医院,陕西 延安,716000

生血宝合剂 琥珀酸亚铁片 缺铁性贫血 铁代谢 血小板参数

中华国际科学交流基金会检验检测科技专项

Z2020LSXB001

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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