关于大量月经出血和贫血的范围审查:一个较少探索的现象
Gargi Pandey1, Kapil Yadav1, Ravneet Kaur1
1Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Journal of family medicine and primary care
|March 12, 2026
概括
严重的月经出血 (HMB) 显著导致女性缺铁性贫血. 当前的卫生计划应整合HMB管理,以有效打击贫血.
科学领域:
- 生殖健康 生殖健康
- 血液学 血液学 血液学
- 公共卫生政策 公共卫生政策
背景情况:
- 世界卫生组织 (WHO) 确定了大量月经出血 (HMB) 作为2023年贫血的关键危险因素.
- HMB会导致慢性血液流失,导致缺铁性贫血,这是月经妇女中普遍存在的问题.
- 印度现有的国家卫生计划没有明确地将HMB视为贫血的原因.
研究的目的:
- 在贫血的背景下绘制有关HMB负担,后果和管理的现有证据.
- 确定有关HMB及其与贫血的联系的研究缺口.
- 为减少贫血的公共卫生战略提供信息.
主要方法:
- 2000年至2024年间出版的文献范围审查.
- 在PubMed,谷歌学者和Scopus数据库中进行的搜索.
- 关键词包括"严重的月经出血"",月经止血"",贫血"",缺铁性贫血"和"管理HMB".
主要成果:
- 严重的月经出血影响全球4-63%的女性,并且与缺铁性贫血有显著的关联.
- HMB产生了巨大的经济影响,据报道,每年每名女性的失业损失为1692美元.
- 治疗性铁补充剂和荷尔蒙避孕药是主要的治疗方法,荷尔蒙避孕药显著改善了血液流失和贫血.
结论:
- 严重的月经出血是妇女缺铁性贫血的主要原因之一.
- 贫血解放印度计划应纳入HMB预防,查,管理和转诊策略.
- 将HMB管理纳入国家卫生计划是有效减少贫血的关键.
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