对因妇科疾病引起贫血住院治疗的女性的回顾性分析:静脉注射铁(羧麦芽糖铁)和输血在临床实践中的作用。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Minerva obstetrics and gynecology Pub Date : 2023-10-01 Epub Date: 2022-04-07 DOI:10.23736/S2724-606X.22.05044-8
Nezaket Kadioglu, Zeynep A Oskovi Kaplan, Seval Sariaslan, Hatice Kansu Celik, Burcu Kisa, Okan Yenicesu, Esma Celik Sarikaya, Ozlem Evliyaoglu, Salim Erkaya
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引用次数: 1

摘要

背景:妇科疾病是女性贫血的重要原因。在本研究中,我们旨在评估因贫血而住院的女性(Hb水平方法:这项回顾性横断面研究在三级护理中心进行。因Hb水平贫血而住院的女性。结果:115名女性接受了红细胞输注,100名女性接受静脉注射羧麦芽糖铁治疗。女性的平均年龄为45.1±6.1(22-57)岁。尽管在一个月结束时,静脉注射铁替代组的平均Hb水平较高(P=0.001),但两种治疗方式的Hb水平的平均升高相似(P=0.101)。在需要手术的贫血女性中,75.9%的女性首选静脉注射铁置换;34.1%的患者在术前接受了红细胞输注。结论:妇科疾病是育龄妇女贫血的常见原因,在适当的情况下,静脉注射羧麦芽糖治疗是一种安全、廉价的输血替代方案,可以在术前提高Hb水平。
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A retrospective analysis of the women hospitalized and treated due to anemia caused by gynecological pathologies: the role of intravenous iron (ferric carboxymaltose) and blood transfusion in clinical practice.

Background: Gynecological pathologies are an important cause of anemia in women. In this study, we aimed to evaluate women who had been hospitalized because of anemia (Hb level <10 g/dL) caused by gynecologic pathologies and treated with either intravenous iron (ferric carboxymaltose) or blood transfusion.

Methods: This retrospective cross-sectional study was performed in a tertiary care center. Women who were hospitalized with the diagnosis of anemia with Hb level<10 g/dL and abnormal uterine bleeding between March 2015- September 2017 in the gynecology clinic were enrolled in the study. Hemoglobin levels, hemoglobin changes, uterine pathology and treatment of patients were recorded and compared.

Results: One hundred and fifteen women received red blood cell transfusion and 100 women were treated with intravenous ferric carboxymaltose. The mean age of the women was 45.1±6.1 (22-57) years. Although the mean Hb levels were higher in the iv-iron replacement group at the end of the one month (P=0.001), the mean increase in Hb levels was similar between two treatment modalities (P=0.101). Among the anemic women who required surgery, iv iron replacement was the first choice in 75.9% of women; 34.1% received red blood cell transfusion in the preoperative period.

Conclusions: Gynecological pathologies are a common cause of anemia in reproductive age women and intravenous carboxymaltose treatment is a safe and cheaper alternative of blood-transfusion in appropriate cases to elevate the Hb levels in the preoperative period.

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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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