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缺铁性贫血患者抗幽门螺旋杆菌治疗的价值
引用本文:上官辉,余永卫,汪宝贞,陈庆生. 缺铁性贫血患者抗幽门螺旋杆菌治疗的价值[J]. 临床血液学杂志, 2009, 22(6): 577-578,581
作者姓名:上官辉  余永卫  汪宝贞  陈庆生
作者单位:佛山市第二人民医院血液科,广东佛山528000
摘    要:
目的:了解幽门螺旋杆菌(HP)感染对缺铁性贫血(IDA)发病的影响及抗HP治疗对改善贫血的价值。方法:对116例IDA患者补铁治疗并检测HP感染的情况。分组:A组为给予去除缺铁原因治疗和补铁治疗可以达到IDA痊愈者,B组为无明显缺铁原因但单纯补铁效果不好的IDA患者。对B组患者给予抗HP治疗,观察抗HP治疗前后患者Hb、平均红细胞体积(MCV)、平均红细胞血红蛋白含量(MCH)、血清铁蛋白(SF)的变化。结果:116例IDA患者中,A组74例给予去除缺铁原因治疗和(或)补铁治疗可以达到IDA痊愈,其中HP感染43例,感染率58.1%;B组42例无明显缺铁原因但是单纯补铁效果不好的IDA患者中HP感染者36例,感染率85.7%,2组间HP感染率的差异有统计学意义。对B组中HP阳性者给予抗HP治疗,抗HP治疗有效者Hb、MCV、MCH、SF较治疗前有明显提高。结论:HP感染可能与IDA的发生有关,清除HP的治疗可改善IDA的疗效。

关 键 词:贫血,缺铁性  幽门螺旋杆菌  治疗

Significance of Helicobacter pylori eradication on iron deficiency anemia patients with Helicobacter pylori infection
SHANGGUAN Hui YU Yongwei WANG Baozhen CHEN Qingsheng. Significance of Helicobacter pylori eradication on iron deficiency anemia patients with Helicobacter pylori infection[J]. Journal of Clinical Hematology, 2009, 22(6): 577-578,581
Authors:SHANGGUAN Hui YU Yongwei WANG Baozhen CHEN Qingsheng
Affiliation:SHANGGUAN Hui YU Yongwei WANG Baozhen CHEN Qingsheng(Department of Hematology,Foshan Second People's Hospital,Foshan,528000,China)
Abstract:
Objective:To elucidate the influence of Helicobacter pylori(HP) infection in iron deficiency anemia(IDA) and to estimate the value of HP eradication in these patients.Method:We gave iron therapy to patients and investigated the incidence rate of HP infection in 116 IDA patients.The 116 patients were assigned into two groups.Group A included patients who were cured with iron therapy and removed the causes of iron loss.Group B included patients without the causes of iron loss and not cured with iron therapy.P...
Keywords:anemia  iron deficiency  Helicobacter pylori  treatment  
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