婴儿缺铁性贫血原因解析与治疗探究-现代医学

婴儿缺铁性贫血原因解析与治疗探究

单位：辽宁省大连市妇幼保健院儿保门诊, 辽宁大连 116033

分类号：R723.2

出版年·卷·期（页码）：2017·36·第七期（949-952）

摘要：

目的：探讨婴儿发生缺铁性贫血（IDA）的原因及有效的治疗方法。方法：选择我院儿保门诊进行体检的婴儿及其母亲233例作为研究对象。收集所有患儿及其母亲的临床资料，包括：婴儿IDA情况，母亲孕期和母乳喂养期间的IDA情况，母乳喂养情况，婴幼儿的性别，出生时体重，家长的教育情况，添加辅食月份等；对患有IDA的婴幼儿给予右旋糖酐铁口服液进行治疗，并对比坚持服药者和不能坚持服药者的临床总有效率。结果：怀孕期间贫血、母亲妊娠期贫血严重程度、乳母贫血均是婴幼儿发生IDA的危险因素（OR=6.846、4.985、3.718）；所有患儿经过治疗后坚持服药者临床总有效率高达98.21%，远高于不能坚持服药者（P<0.05）。结论：婴儿发生缺铁性贫血的原因主要有母亲孕期和母乳喂养期间患有IDA，添加辅食月份，按医嘱坚持服药是治疗婴幼儿缺铁性贫血的关键。

Objective: To investigate the risk factor and treatment of iron deficiency anemia in infants. Methods: 233 infants and their mothers who went to development clinic were chosen. The clinical data of all infants and their mothers were collected, include infant IDA, IDA in pregnancy and breast-feeding, feeding method, infant sex, birth weight, the education of parents, add supplement food time, and infantile diarrhea. The infants with IDA were treated with Multivitamin Iron Oral Solution, and the total effective rate of the patients who insist on taking medicine and those who can not insist on taking medicine was compared. Results: Anemia during pregnancy, pregnancy, maternal anemia anemia severity were risk factors of infant IDA (OR=6.846, 4.985, 3.718).The total effective rate of all children who persisted in taking medicine after treatment was as high as 98.21%, far higher than those who could not adhere to the medicine (P<0.05). Conclusion: The risk factors of IDA in infants are IDA in pregnancy and breast-feeding, add supplement food time and infantile diarrhea. Insist on taking medicine according to the doctors' advice is important in the treatment of IDA in infants.

参考文献：

[1] 张玉峰.右旋糖酐铁口服液治疗婴幼儿营养性缺铁性贫血的疗效观察[J].中国医药指南,2014,18(9):80-81.
[2] 汪晓霞,肖绪武.右旋糖酐铁口服液治疗小儿营养性缺铁性贫血的效果分析[J].中国医药科学,2013,48(24):68-69.
[3] 罗绍凯. 临床血液病学[M]. 科学出版社,2003:215-217.
[4] 陈艳.石桥街道2032例婴幼儿血常规体检及贫血状况分析[J].当代医学,2014,20(1):163-164.
[5] 欧阳修殷,何龙明.小儿营养不良类型与小儿贫血程度的关系(附560例分析)[J].中国妇幼保健,2011,26(34):5472.
[6] CHANG S,ZENG L,BROUWER I D,et al.Effect of iron deficiency anemia in pregnancy on child mental development in rural China[J].Pediatrics,2013,131(3):e755-e763.
[7] 兰帝仕,黄美娜,翁翔.间隔补铁治疗小儿缺铁性贫血23例临床分析[J].中国社区医师,2014,30(21):76-77.
[8] 廖凤明.68例小儿贫血患者贫血原因及对策[J].当代医学,2014,20(12):78-79.
[9] BEFRIST R,WIKMAN O,BLOMQUIST L,et al. Anemia and iron deficiency in inflammatory bowel disease:an open,prospective,observational study on diagnosis,treatment with ferric carboxymaltose and quality of life[J].Scand J Gastroenterol,2013,48(9):1027-1032.
[10] 符艳蓉,盛晓静,孙蕾,等.家长认知对儿童缺铁性贫血防治效果的影响[J].临床合理用药,2014,7(9):103-104.

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