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目的:探讨缺铁性贫血的的诊断及治疗方法,为临床诊断和治疗提供依据。方法:收治缺铁性贫血患儿550例,随机分为两组,治疗组270例给予小剂量铁剂口服治疗;对照组280例给予常规剂量铁剂口服治疗。随访期1个月,对其临床疗效进行对比分析。结果:治疗组经口服小剂量铁剂治疗后,显效225例,有效35例,无效10例,总有效率为96.3%,出现不良反应12例。对照组经口服常规剂量铁剂治疗后,显效230例,有效37例,无效13例,总有效率为95.4%,出现不良反应43例。两组总有效率相比,差异无统计学意义(P>0.05)。两组不良反应比较,治疗组明显少于对照组,差异有统计学意义(P<0.05)。结论:缺铁性贫血的早期诊断具有重大意义,口服小剂量铁剂临床疗效及不良反应明显优于常规铁剂治疗。
Objective: To discuss the diagnosis and treatment of iron deficiency anemia and provide the basis for clinical diagnosis and treatment. Methods: A total of 550 children with iron deficiency anemia were randomly divided into two groups. 270 cases in the treatment group were treated with low dose of iron, while 280 cases in the control group were treated with conventional iron dose. Follow-up period of 1 month, the clinical efficacy of comparative analysis. Results: In the treatment group, 225 cases were treated with low dose of iron, effective in 35 cases and ineffective in 10 cases. The total effective rate was 96.3%. There were 12 adverse reactions. Control group after oral administration of conventional iron therapy, markedly effective in 230 cases, effective in 37 cases, ineffective in 13 cases, the total effective rate was 95.4%, there were 43 cases of adverse reactions. There was no significant difference between the two groups in total effective rate (P> 0.05). The two groups of adverse reactions, the treatment group was significantly less than the control group, the difference was statistically significant (P <0.05). Conclusion: The early diagnosis of iron deficiency anemia is of great significance. The clinical efficacy and side effects of oral low dose iron are significantly better than those of conventional iron therapy.