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静脉铁剂治疗血液透析肾性贫血患者的疗效观察
引用本文:陈沛,罗正茂.静脉铁剂治疗血液透析肾性贫血患者的疗效观察[J].河北医学,2009,15(2):150-153.
作者姓名:陈沛  罗正茂
作者单位:1. 广东省广州市白云区石井人民医院内科,广东,广州,510430
2. 广州军区广州总医院肾内科,广东,广州,510010
摘    要:目的:观察口服与静脉铁剂对尿毒症血液透析肾性贫血患者的疗效。方法:本院接受血液透析的60例尿毒症病人入选。病人随机分为两组,对照组28例,治疗组32例。两组均常规血液透析,使用r—HuEPO治疗,对照组口服琥珀酸亚铁,治疗组采用右旋糖酐铁静脉注射,疗程均为10周。结果:治疗10周后,治疗组的总有效率明显高于对照组,差异具有统计学意义P〈0.01两组铁剂治疗10周后,治疗组血清铁指标:TSAT(转铁蛋白饱和度)、FT(血清铁),贫血指标:Hb、Hct明显高于对照组(P〈0.05)。结论:静脉注射右旋糖酐铁临床疗效比口服琥珀酸亚铁疗效好,但其副作用相对也大,应注意合理应用。

关 键 词:血液透析  静脉铁剂  疗效观察

Observing the Effect of Intravenous Iron on Renal Anemia Patients with Hemodialysis
CHEN Pei,et al.Observing the Effect of Intravenous Iron on Renal Anemia Patients with Hemodialysis[J].Hebei Medicine,2009,15(2):150-153.
Authors:CHEN Pei  
Institution:Shijing People's Hospital of Baiyun District in Guangzhou;Guangdong Guangzhou 510430;China
Abstract:Objective:To observe the effect of intraventous iron and oral iron on patients with uriemia by hemodialysis.Method: 60 cases uriemia were divided into two groups.28 cases in control group,32 cases in treatment group.Both of the groups were treated with r-HuEOP and routine hemodialysis.The patients in control group took ferrous succinate orally,for a course of 10 weeks.Dextran and intreatment iron were given to the patiwnts in treatment group for a couser of 10 weeks.Result: The total effective rate in treat...
Keywords:Hemodialysis  Intravenous iron  Effect  
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