乳酸亚铁片治疗缺铁性贫血的临床疗效

The effectiveness and side effects of Ferrous Lactate tablets for patients with iron deficiency anemia

目的观察乳酸亚铁片治疗缺铁性贫血(IDA)的疗效和不良反应。方法采用随机对照的试验方法,将乳酸亚铁治疗IDA的疗效及不良反应与琥珀酸亚铁进行比较,疗程6周。结果乳酸亚铁片治疗4周的显效率、有效率及总有效率分别为72.41%、17.24%和89.65%,而琥珀酸亚铁的则分别为54%、22%和76%,前者疗效优于后者(P<0.05),显示乳酸亚铁片治疗IDA见效较琥珀酸亚铁快;乳酸亚铁治疗IDA6周的显效率及有效率分别为93.05%和2.78%,而琥珀酸亚铁的则分别为93.44%和4.92%,无统计学差异(P>0.05),显示两药治疗6周的疗效基本相同。两药不良反应比较无明显差异(P>0.05)。结论乳酸亚铁片治疗IDA疗效好,胃肠不良反应轻,患者耐受性好,是治疗IDA安全、有效的口服铁剂。

OBJECTIVE To study the treatment effectiveness and side effects of Ferrous Lactate tablets for the patients with iron deficiency anemia （IDA）. METHODS A randomized clinical trial was performed to compare the treatment effectiveness and side effects of Ferrous Laerate tablets with Ferrous Succinate tablets on patients with IDA orally taken for 6 weeks. RESULTS On the forth week of the trial, renarrkably effeetive rate, effective rate and totally effective rate of ferroas lactate and ferrous succinate were 72.41%, 17.24 %, 89.65 % and 54%,22%,76%, respectively. The effectiveness of ferrous lactate was higher than that of ferrous succinate （P 〈 0.05）. The remarkahly effective rate and effective rate of ferrous lactate and ferrous sueeinate on the sixth week of the trial were 93.05%, 2.78% and 93.44%, 4.92% , respectively. The effectiveness of two drugs was the ,same（ P 〉 0.05）. while the side effects of both drugs were no difference （ P 〉 0.05）. CONCLUSION Ferrous Lactate tablet is a highly effective drug as Ferrous succinate tablets and with endurably mild side effects to patients with IDA.