静脉注射铁用于重症儿童. 三种剂量方案的比较
Laura Butragueño-Laiseca1,2,3,4, Sara de la Mata Navazo1,2,3,4, Amelia Caridad Sánchez Galindo1,2,3,4
1Pediatric Intensive Care Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Pediatric blood & cancer
|October 26, 2023
概括
静脉注射铁糖是治疗严重病症儿童贫血的安全和有效方法. 与较低剂量相比,7 mg/kg的剂量显示出更好的铁补充和更快的结果.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 血液学 血液学 血液学
- 药理学 药理学是指药理学的学科.
背景情况:
- 贫血在儿科重症监护病房中很普遍.
- 静脉注射铁是输血的潜在替代品.
- 有限的数据存在于IV铁在重症儿童.
研究的目的:
- 评估静脉注射铁糖对儿科重症监护中的贫血的安全性和有效性.
- 为了比较铁糖糖的不同剂量方案 (3,5,7 mg/kg).
主要方法:
- 这是一项从2017年10月到2022年11月在三级儿科重症监护病房进行的前性研究.
- 115名重症儿童接受了静脉注射铁糖输液.
- 对缺铁生物标志物,血红蛋白和不良事件进行了监测.
主要成果:
- 治疗后血红蛋白水平显著增加 (9.2至11.6g/dL).
- 转林和指数和血清铁显著改善.
- 7毫克/公斤剂量组实现更高的缺铁补充 (94%) 比较低的剂量更快.
- 副作用是罕见的 (1.3%) 和轻微的,主要是胃肠道.
结论:
- 静脉注射铁糖在儿科重症监护中是安全有效的.
- 7毫克/公斤的剂量方案在补充缺铁方面更有效.
- 这种疗法为治疗重症儿童贫血症提供了一个有希望的替代方案.
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