Mefkure ERASLAN ŞAHİN, İlknur ÇÖL MADENDAĞ

Gebelikte demir eksikliği anemisi olan hastalarda intravenöz demir sükroz tedavisinin rolü: Prospektif kontrollü kohort çalışması

Amaç: Demir eksikliği anemisi gebelikte en sık görülen beslenme bozukluğudur ve tüm gebelerin yaklaşık% 40'ı anemi nedeni ile perinatal morbidite ve mortalite ile komplikedir. Bu çalışmada, demir eksikliği anemisi olan üçüncü trimester gebeliklerde intravenöz demir sukroz ve oral demir hidroksipolizmaltozun etkinliği karşılaştırıldı.Yöntemler: Prospektif bir kohort çalışması planlandı. Çalışmaya iki grupta toplam 140 hamile kadın alındı. Birinci grup oral demir tedavisini tolere edemeyen ve intravenöz demir sukroz ile tedavi edilen ve ikinci grup üçüncü trimesterde anemi tedavisi için oral demir III hidroksi polmaltoz kullanan hastalardan oluşuyordu. Kan sayımı parametrelerinin tedavi etkileri. gruplar arasında karşılaştırıldı.Bulgular: Demografik ve bazal özellikler her iki grupta da benzerdi. Tedavi öncesi ortalama hemoglobin düzeyleri intravenöz tedavi grubunda 9.03±0.47 g / L, oral tedavi grubunda 8.82±0.39 g / L idi. Tedaviden 30 gün sonra, ortalama hemoglobin düzeyleri intravenöz tedavi grubunda 10.7±0.55 g / L, oral tedavi grubunda 10.9±0.58 g / L idi. Doğum öncesi ortalama hemoglobin düzeyleri intravenöz tedavi grubunda 11.38±0.56 g / L, oral tedavi grubunda 11.35±0.47 g / L idi. Gruplar arasında hemoglobin düzeyleri açısından tedaviden önce, tedaviden 30 gün sonra ve doğumdan önce anlamlı fark yoktu (sırasıyla p = 0.355, p = 0.513 ve p = 0.975). Ortalama korpüsküler hakim (MCV), ortalama korpüsküler hemoglobin (MCH) ve ortalama korpüsküler hemoglobin konsantrasyonu (MCHC) seviyeleri, tedaviden önce, tedaviden 30 gün sonra ve doğumdan önce gruplar arasında istatistiksel olarak farklı değildi.Sonuçlar: İntravenöz demir sukroz uygulaması, üçüncü trimesterde demir eksikliği anemili gebelerin tedavisinde kan transfüzyonuna bir alternatiftir

Anahtar Kelimeler:

Demir sukroz, Demir eksikliği anemisi, Üçüncü trimester gebelik

The role of intravenous iron sucrose treatment in patients with iron deficiency anemia in pregnancy: A prospective controlled cohort study

Aim: Iron deficiency anemia is the most common nutritional disorder in pregnancy and approximately 40% of all pregnant women are complicated with perinatal morbidity and mortality. In this work, the efficacy of intravenous iron sucrose and oral iron hydroxypolymaltose is compared in third-trimester pregnancies with iron deficiency anemia.Methods: A prospective cohort study is planned. A total of 140 pregnant women were enrolled in the study in two groups. The first group consisted of patients who could not tolerate oral iron therapy and were treated with intravenous iron sucrose and the second group was composed of patients who used oral iron III hydroxy polymaltose for anemia treatment in third trimester.. The treatment effects of blood count parameters were compared between groups.Results: Demographic and baseline characteristics were similar in both groups. Mean hemoglobin levels before treatment were 9.03±0.47 g/L in the intravenous treatment group and 8.82±0.39 g/L in the oral treatment group. 30 days after treatment, the mean hemoglobin levels were 10.7±0.55 g/L in the intravenous treatment group and 10.9±0.58 g/L in the oral treatment group. Before delivery, the mean hemoglobin levels were 11.38±0.56 g/L in the intravenous treatment group and 11.35±0.47 g/L in the oral treatment group. There was no significant difference between groups for hemoglobin levels before treatment, 30 days after treatment, and before delivery (p=0.355, p=0.513, and p=0.975, respectively). The mean mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) levels were not statistically different between groups before treatment, 30 days after treatment, and before delivery.Conclusions: Intravenous administration of iron sucrose is an alternative to blood transfusion for the treatment of pregnant women with iron deficiency anemia during the third trimester.

Keywords:

Iron sucrose, Iron deficiency anemia, Third-trimester pregnancy,

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