Study of efficacy of intravenous iron sucrose in patients with moderate iron deficiency anemia in pregnancy

S. Raut, Parag Biniwale
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引用次数: 2

Abstract

Introduction: Iron deficiency continues to be one of the most prevalent single nutrient deficiencies in the world. In the case of pregnant population, treatment of iron deficiency anemia efficiently would lead to a considerable reduction in the risk factors affecting maternal and fetal outcome. Materials and Methods: In this retrospective, case control study; the data of pregnant women who have received uniform dose of Intravenous and oral therapy for proven moderate iron deficiency anemia in the second trimester were studied for efficacy and safety parameters. The hemoglobin levels before and after initiating treatment in both groups were compared. Results and Conclusions: Intravenous and oral; both the treatments were associated with increment in hemoglobin but this rise was significantly more in the intravenous group than in oral. Comparing participants with low pretreatment hemoglobin among both groups, participants in the intravenous group were better benefited than oral due to respective treatment. Further it is found that hemoglobin increment is inversely proportional to the pretreatment hemoglobin irrespective of route of administration. Also intravenous iron is better tolerated compared to oral iron. So it can be concluded that intravenous iron therapy is much effective in correcting iron deficiency anemia in pregnancy than oral iron therapy.
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静脉注射蔗糖铁治疗妊娠期中度缺铁性贫血的疗效观察
铁缺乏仍然是世界上最普遍的单一营养素缺乏症之一。在怀孕人群中,有效治疗缺铁性贫血可显著减少影响母胎结局的危险因素。材料与方法:回顾性病例对照研究;研究了在妊娠中期接受均匀剂量静脉注射和口服治疗中度缺铁性贫血的孕妇的疗效和安全性参数。比较两组患者治疗前后血红蛋白水平。结果与结论:静脉注射和口服;两种治疗方法均与血红蛋白升高有关,但静脉注射组的血红蛋白升高明显高于口服组。对比两组前处理血红蛋白较低的患者,静脉注射组由于各自的治疗方式,获益优于口服组。进一步发现血红蛋白增量与预处理血红蛋白成反比,与给药途径无关。静脉注射铁比口服铁耐受性更好。由此可见,静脉补铁治疗妊娠期缺铁性贫血比口服补铁治疗更有效。
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