蒋月娥

【摘 要】目的：分析缺铁性贫血患者的临床特点及有效的治疗方法。方法：将本院2016年6月-2017年6月收治的60例缺铁性贫血患者进行观察，分析患者的临床特点。根据入院先后顺序将患者分为观察组、参照组各30例。参照组给予硫酸亚铁、葡萄糖酸亚铁治疗，观察组在参照组治疗基础上给予四君子合剂治疗，治疗4周，记录两组治疗效果。结果：观察组总有效率、血红蛋白（Hb）及免疫球蛋白（IgG、IgA、IgM）水平均优于参照组，有统计学意义（P<0.05）。结论：缺铁性贫血患者临床症状多样，主要有头晕、纳差、心悸、乏力、女性月经量多等症状，贫血程度以中度及以上为主。采用补铁药物联合中药制剂治疗的疗效突出，值得临床推广。

【关键词】缺铁性贫血；治疗方法；临床特点

Abstract Objective： To analyze the clinical features and effective treatment of patients with iron deficiency anemia. Methods： 60 patients with iron deficiency anemia treated in our hospital from June 2016 to June 2017 were observed， and the clinical characteristics of the patients were analyzed. The patients were divided into observation group and 30 patients in the reference group according to the order of admission. The control group was treated with ferrous sulfate and ferrous gluconate， and the observation group was treated with four junzi mixture on the basis of reference group treatment， and the treatment effect was recorded for 4 weeks. Results： the total efficiency of observation group， hemoglobin （Hb） and immunoglobulin （IgG， IgA， IgM） were all better than those of the control group （P < 0.05）. Conclusion： the patients with iron deficiency anemia have various clinical symptoms， such as dizziness， inadequacy， palpitation， fatigue， female menstrual volume， etc.， and the degree of anemia is mainly moderate and above. The curative effect of the combination of iron supplement combined with traditional Chinese medicine is outstanding and worthy of clinical promotion.

Key words：iron deficiency anemia； Treatment； Clinical characteristics

【中圖分类号】R574.2 【文献标识码】A 【文章编号】1672-3783（2018）07-03--01

缺铁性贫血也称营养缺乏性贫血，是贫血的常见类型，好发于育龄女性、婴幼儿。因营养不良、慢性消耗性疾病、钩虫感染等因素导致体内铁供需失衡，体内铁贮存耗尽导致红细胞内铁减少，出现消化道溃疡、乏力、头晕、烦躁易怒等症状。据临床不完全统计结果显示，全球缺铁性贫血患者已经超过7亿，且发病人数持续上升，影响国民身心健康[1]。缺铁性贫血患者的病因、地区、性别不同，临床特点也不同，明显患者的临床特点对疾病的诊断及治疗方案的选择具有指导意义。本文就缺铁性贫血患者的临床特点及治疗方法进行探讨，内容总结如下。

1 资料与方法

1.1 一般资料 研究对象选自本院2016年6月-2017年6月收治的60例缺铁性贫血患者，所有患者均符合WHO关于缺铁性贫血诊断标准，实验室检查Hb<100g/L，血清铁蛋白<15μg/L，红细胞压积<30%，获得医学伦理会审批，签署《知情同意书》。根据入院先后顺序将患者分为观察组、参照组各30例。……