铁缺乏性贫血妇女每日或替代性口服铁替代剂:随机对照试验
Mallesh Dhanush1, Kolar Vishwanath Vinod1, Prabhu Manivannan2
1Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research [JIPMER], Dhanvantri Nagar, Puducherry, Pondicherry, 605006 India.
概括
在铁缺乏性贫血患者中,每隔一天的口服铁替代剂显著提高了血红蛋白水平,比每日剂量更有效. 这种间歇性疗法也会导致较少的副作用,改善治疗耐受性.
科学领域:
- 血液学 血液学 血液学
- 营养科学 营养科学
- 临床试验 临床试验
背景情况:
- 对缺铁性贫血 (IDA) 的最佳口服铁替代策略尚不清楚.
- 间歇性铁施用显示出改善吸收和耐受性的潜力.
研究的目的:
- 为了比较IDA的女性每天口服铁 (120毫克) 与每天口服铁 (60毫克) 的疗效和耐受性.
主要方法:
- 随机,主动比较器受控,开放标签试验,涉及女性 (年龄≥18岁) 与IDA.
- 主要结局:血红蛋白 (Hb) 在28日的变化. 二次结局:56日的Hb变化,肝素水平,不良反应 (AE) 和遵守.
主要成果:
- 在第28天,替代日臂 (ADA) 与每日臂 (DA) 的Hb增加显著更高 (+2.2 vs +1.3 g/dL,p=0.003).
- 与DA相比,ADA中的AE发病率较低 (9%对45%,p<0.005).与DA相比,ADA中的AE发病率较低.
- 两组之间在肝素变化或治疗顺应性方面没有显著差异.
结论:
- 交替的口服铁替代剂在短期血红蛋白增加方面更有效,并且在IDA中比每日剂量更好地容忍.
- 需要进一步的大规模,更长时间的RCT来证实这些发现.
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