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缺铁性贫血治疗过程中消化道肿瘤的筛查 被引量:7

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摘要 目的筛查缺铁性贫血的消化道肿瘤性病因,探讨采用静脉铁剂治疗缺铁性贫血的效果。方法选择缺铁性贫血患者160例对其临床病因进行分析,并根据治疗方法的不同分为治疗组80例与对照组80例,对照组给予口服铁剂治疗,治疗组给予静脉铁剂治疗。结果 160例患者中有122例为消化道肿瘤引起,胃癌患者多呈现严重贫血状态,肠癌患者多为轻度贫血状态。低蛋白血症、肿瘤T分期与输血为影响肿瘤贫血的相关因素(P均<0.05)。2组治疗后血清铁(SI)、铁蛋白(SF)与转铁蛋白饱和度(TS)值均明显上升(P均<0.05),且组间比较有显著性差异(P均<0.05)。结论缺铁性贫血多为消化道肿瘤引起,多为轻、中度贫血,要加强临床筛查。低蛋白血症、肿瘤T分期与输血为相关因素。静脉补充铁剂治疗能取得比较好的效果。
作者 刘烨
出处 《现代中西医结合杂志》 CAS 2013年第30期3354-3355,共2页 Modern Journal of Integrated Traditional Chinese and Western Medicine
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