首页|右旋糖酐铁口服液结合维生素C治疗儿童缺铁性贫血的临床效果研究

右旋糖酐铁口服液结合维生素C治疗儿童缺铁性贫血的临床效果研究

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目的 探讨右旋糖酐铁口服液结合维生素C治疗儿童缺铁性贫血的临床效果。方法 86例缺铁性贫血患儿,随机分为对照组与观察组,每组43例。对照组单用右旋糖酐铁口服液治疗,观察组使用右旋糖酐铁口服液结合维生素C治疗。对比两组临床疗效、血常规指标[红细胞计数(RBC)、血红蛋白(Hb)、平均红细胞血红蛋白浓度(MCHC)、平均红细胞血红蛋白含量(MCH)]、铁代谢指标[血清铁蛋白(SF)、血清铁(SI)、总铁结合力(TIBC)、转铁蛋白饱和度(TSAT)]、不良反应发生率。结果 观察组治疗总有效率为95。35%,明显高于对照组的72。09%(P<0。05)。观察组治疗后RBC(4。15±0。76)×1012/L、Hb(116。17±12。74)g/L、MCHC(330。43±21。67)g/L、MCH(28。98±2。19)pg均高于对照组的(3。23±0。57)×1012/L、(103。52±11。83)g/L、(305。79±20。58)g/L、(25。60±2。36)pg(P<0。05)。观察组治疗后SF(17。08±3。46)μg/L、SI(12。10±2。41)μmol/L、TSAT(17。10±2。11)%高于对照组的(14。27±2。65)μg/L、(10。57±2。16)μmol/L、(14。56±2。17)%,TIBC(60。12±3。54)μmol/L低于对照组的(66。73±4。01)μmol/L(P<0。05)。观察组不良反应发生率4。65%明显低于对照组的20。93%(P<0。05)。结论 右旋糖酐铁口服液结合维生素C治疗儿童缺铁性贫血的临床效果显著,能有效纠正血常规指标,改善铁代谢,且安全性好。
Study on clinical effect of iron dextran oral solution combined with vitamin C in the treatment of iron deficiency anemia in children
Objective To explore the clinical effect of iron dextran oral solution combined with vitamin C in the treatment of iron deficiency anemia in children. Methods 86 children with iron deficiency anemia were randomly divided into a control group and an observation group,with 43 cases in each group. The control group was treated with iron dextran oral solution alone,and the observation group was treated with iron dextran oral solution combined with vitamin C. Comparison was made on clinical efficacy,blood routine indexes[red blood cell count (RBC),hemoglobin (Hb),mean corpuscular hemoglobin concentration (MCHC),mean corpuscular hemoglobin (MCH)],iron metabolism indexes[serum ferritin (SF),serum iron (SI),total iron binding capacity (TIBC),transferrin saturation (TSAT)]and adverse reactions between the two groups. Results The total effective rate of the observation group was 95.35%,which was significantly higher than 72.09% of the control group (P<0.05). After treatment,the observation group had RBC of (4.15±0.76)×1012/L,Hb of (116.17±12.74) g/L,MCHC of (330.43±21.67) g/L,and MCH of (28.98±2.19) pg,which were higher than (3.23±0.57)×1012/L,(103.52±11.83) g/L,(305.79±20.58) g/L,and (25.60±2.36) pg in the control group (P<0.05). After treatment,the observation group had SF of (17.08±3.46) μg/L,SI of (12.10±2.41) μmol/L,and TSAT of (17.10±2.11)%,which were higher than (14.27±2.65) μg/L,(10.57±2.16) μmol/L,and (14.56±2.17)% in the control group;the observation group had lower TIBC of (60.12±3.54) μmol/L than (66.73±4.01) μmol/L in the control group (P<0.05). The incidence of adverse reactions of 4.65% in the observation group was significantly lower than 20.93% in the control group (P<0.05). Conclusion Iron dextran oral solution combined with vitamin C has a significant clinical effect in the treatment of iron deficiency anemia in children,which can effectively correct blood routine indexes and improve iron metabolism,and has good safety.

Iron deficiency anemia in childrenIron dextran oral solutionVitamin CClinical effect

郑林钦

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352200 古田县妇幼保健院儿科

儿童缺铁性贫血 右旋糖酐铁口服液 维生素C 临床效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(23)