俄罗斯缺铁的流行病学:血清铁蛋白值取决于性别和年龄

N. Stuklov, M. S. Kovalchuk, A. Gurkina, N. D. Kislyу
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摘要

铁缺乏症(ID)在妇女中的高流行率及其对卫生保健系统的重要负面影响是毋庸置疑的。存在严重的系统性问题需要制定特殊的国家计划来对抗身份证。如果不对每个具体国家进行流行病学研究,就不可能制定这样的计划。本研究的目的是确定原发性门诊患者血清铁蛋白(SF)的频率和严重程度,取决于性别和年龄。本研究在俄罗斯15个大城市进行,共纳入1737例原发患者,其中男性97例,女性1640例。在研究普通组SF参数时,女性SF值明显较低,平均为40±99 μg/l,而该队列患者中有61%的SF低于30 μg/l, 70%的SF低于目标值,这就需要制定预防方案来对抗女性患者的ID。在16岁到49岁之间,几乎所有的女性都生活在绝对本我的状态中,可能正是在这个群体中应该进行上述活动。相反,对于男性患者,根据获得的数据判断,需要强制测定SF才能决定是否进行铁治疗。
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Epidemiology of iron deficiency in Russia: serum ferritin values depending on sex and age
The high prevalence of iron deficiency (ID) in women and its important negative impact on the health care system is beyond doubt. The presence of severe problems of a systemic nature requires the development of special state programs to combat ID. The development of such programs is impossible without conducting epidemiological studies in each specific country. The purpose of this work is to determine the frequency and severity of ID in terms of serum ferritin (SF) in primary outpatients, depending on gender and age. The study was conducted in 15 large cities of Russia, in total, 1737 primary patients were included, of which 97 were males and 1640 were females. When studying the parameters of SF in general groups, its values are significantly lower in females, and average 40 ± 99 μg/l, while 61% of this cohort of patients have SF less than 30 μg/l, and 70% live in conditions of SF below target values, which requires the development of preventive programs to combat ID among female patients. Between the ages of 16 and 49, almost all females live in conditions of absolute ID, and it is probably in this group that the above activities should be carried out. On the contrary, as regards male patients, judging by the data obtained, a mandatory determination of SF is required to make a decision on conducting ferrotherapy.
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