中重度贫血IDA输血把握及静脉补铁的探讨.docVIP

中重度贫血IDA输血把握及静脉补铁的探讨 　　摘要：目的 探讨中重度贫血的缺铁性贫血患者的输血把握以及经单纯静脉补铁是否能在短期内快速改善贫血症状，观察其不良反应，以减少输血风险。方法 将60例有输血指征的缺铁性贫血患者随机分两组：30例患者不输血单纯静脉补蔗糖铁为实验组，30例予输血a2U后再予静脉补蔗糖铁为对照组，持续观察治疗4w，比较两组HGB提升差异以及不良反应发生情况。结果 对照组在前3w HGB上升水平要高于试验组（P0.05）。结论 临床上遇到有输血指征的缺铁性贫血患者，当无明显活动性出血及生命体征稳定时，为避免输血风险及减轻血源紧张，可尝试单纯静脉补铁，亦可较短时间内纠正贫血 　　关键词：IDA；静脉补铁；价值 　　Abstract：Objective To study Severe anaemia in IDA blood transfusion grasp and investigate patients with iron deficiency anemia in moderate and severe anemia to cure simple intravenous iron whether can quickly improve symptoms of anemia in the short term，to observe the adverse reaction，in order to reduce the risk of blood transfusion.Methods 60 cases of transfusion indications in patients with iron deficiency anemiawere randomly divided into two groups：30 patients without blood transfusion of intravenous iron sucrose alone as the experimental group，30 cases treated with blood transfusion of 2U followed by intravenousiron sucrose as the control group，the observation lasted for 4 weeks，compared with two groups of HGB to enhance the differences and theadverse reactions occurrence the situation.Results 3 weeks before，the control group is higher than the experimental group in the rise of HGB level（P0.05）.Conclusion The clinical encounter with a blood transfusion indications in patients with iron deficiency anemia，when bleeding and vital signs were stable and no obvious activities，in order to avoid the risk of blood transfusion and reduce the blood source nervous，try simple intravenous iron supplement，also can be in a relatively short period of time to correct the anemia. 　　Key words：Iron-deficiency anemia；Intravenous iron；Value 　　缺铁型贫血（iron-deficiency anemia，IDA）在临床上是常见的贫血之一，主要系机体对铁的需求与供给出现失衡使体内的储存铁消失，导致红细胞内铁缺乏而引起贫血，使患者出现一系列临床症状和体征[1]。目前，流行病学调查显示IDA的发病率有逐年上升趋势，该病的处理原则为消除病因及补铁治疗[2]。对于中重度IDA处理上，笔者通过观察比较单纯静脉补铁与输血后静脉补铁两组HGB变化及不良反应，认为两组治疗结局无差异，单纯静脉补铁在中重度贫血的IDA中具有良好的治疗效果，现报道如下。 　　1资料与方法 　　1.1一般资料 收集2010年1月～2013年12月在浙江萧山医院血液科治疗的中重度贫血IDA患者60例，按照治疗先后顺序随机分为两组：