论文部分内容阅读
目的比较药物治疗与食疗对婴幼儿轻度缺铁性贫血的疗效差异,为婴幼儿轻度缺铁性贫血的治疗提供参考。方法选取2014年4月1日-2015年3月31日于湛江市赤坎区妇幼保健院儿童保健门诊首次诊断轻度缺铁性贫血且家长自愿参与本研究的837例6~36月龄的婴幼儿作为研究对象,依家长意愿分为治疗组(药物治疗)与对照组(食疗)两组,于治疗1个月、3个月后(7天内)采末梢血行血细胞分析,比较两组患儿的贫血治疗有效率和血红蛋白浓度(HGB/Hb)、平均红细胞容积(MCV)、平均红细胞血红蛋白含量(MCH)、平均红细胞血红蛋白浓度(MCHC)水平差异。结果治疗1个月后,治疗组有效率(74.13%)和HGB水平(112.59±4.45)g/L明显高于对照组有效率(14.71%)和HGB水平(105.36±4.38)g/L,差异均有统计学意义(χ~2=300.50,P<0.01;t=23.688,P<0.01)。治疗3个月后,治疗组有效率(92.79%)和HGB水平(120.71±5.17)g/L明显高于对照组有效率(59.54%)和HGB水平(109.87±2.81)g/L,差异均有统计学意义(χ~2=124.90,P<0.01;t=31.438,P<0.01);治疗组治疗3个月后有效率(92.79%)和HGB水平(120.71±5.17)g/L明显高于治疗1个月后有效率(74.13%)和HGB水平(112.59±4.45)g/L,差异均有统计学意义(χ~2=55.313,P<0.01;t=51.121,P<0.01)。结论婴幼儿轻度缺铁性贫血的治疗需以药物治疗为主,食疗为辅,治疗应坚持足够疗程,在Hb值恢复正常后仍需继续补充铁剂2个月,以恢复机体铁储备水平。
Objective To compare the curative effects of drug therapy and diet on mild iron deficiency anemia in infants and young children, and to provide a reference for the treatment of mild iron deficiency anemia in infants and young children. Methods From April 1, 2014 to March 31, 2015, 837 infants aged 6 to 36 months who were diagnosed with mild iron deficiency anemia for the first time and their parents voluntarily participated in this study were selected from the Child Health Care Clinic of Chikan District MCH in Zhanjiang. Infants and young children were divided into two groups: treatment group (drug treatment) and control group (dietotherapy), according to parents’ wishes. Blood samples were collected from the peripheral blood for 1 month, 3 months (within 7 days) Efficacy of anemia treatment and hemoglobin concentration (HGB / Hb), mean corpuscular volume (MCV), mean erythrocyte hemoglobin content (MCH), and mean erythrocyte hemoglobin concentration (MCHC) Results After 1 month of treatment, the effective rate (74.13%) and HGB level (112.59 ± 4.45) g / L in treatment group were significantly higher than those in control group (14.71%) and HGB level (105.36 ± 4.38) g / L All of them were statistically significant (χ ~ 2 = 300.50, P <0.01; t = 23.688, P <0.01). Three months after treatment, the effective rate (92.79%) and HGB level (120.71 ± 5.17) g / L in the treatment group were significantly higher than those in the control group (59.54%) and HGB level (109.87 ± 2.81) g / L (92.79%) and HGB (120.71 ± 5.17) g / L were significantly higher in the treatment group after 3 months of treatment (χ ~ 2 = 124.90, P <0.01; t = 31.438, The effective rate (74.13%) and HGB level (112.59 ± 4.45) g / L after 1 month treatment were statistically significant (χ ~ 2 = 55.313, P <0.01; t = 51.121, P <0.01). Conclusion The treatment of mild iron deficiency anemia in infants and young children needs to be based on medication. Supplementary diet should be followed up for adequate treatment. Iron supplementation should be continued for 2 months after the Hb value returns to normal so as to restore the body’s iron reserve .