幽门螺杆菌感染的慢性糜烂性胃炎合并缺铁性贫血补铁时机探讨

CHINESE JOURNAL OF MISDIAGNOSTICS(2010)

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Abstract
目的 探讨幽门螺杆菌(HP)感染的慢性糜烂性胃炎合并缺铁性贫血(IDA)患者最佳的补铁时机.方法 选择HP感染的慢性糜烂性胃炎合并IDA患者68例,随机分为治疗组36例和对照组32例,治疗组在根除HP方案 (2周) 结束时服多糖铁胶囊(0.15/d)治疗,对照组在开始根除HP方案时就补铁.8周后观察贫血改善(主要观察血红蛋白回升)及上腹不适症状缓解情况.结果 两组患者贫血均明显改善,治疗组略逊于对照组,但差异无统计学意义(P>0.05);然而上腹不适症状的缓解治疗组较对照组快(P<0.05).结论 HP感染的慢性糜烂性胃炎合并IDA患者补铁宜选择在根除HP后进行.
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