蔗糖铁注射液联合肠内营养制剂治疗骨科术后患者贫血的疗效分析

Curative effect analysis of ron sucrose injection combined enteral nutrition preparation in treatment of Anemia of postoperative patients in Department of orthopedics

目的分析蔗糖铁注射液联合肠内营养制剂支持对于骨科术后贫血的疗效。方法选取2016年1月~2017年3月间在本院接受骨科手术治疗合并术后贫血的92例患者作为观察对象,将全部患者随机均分为对照组与观察组,对照组给予常规补铁制剂联合肠内营养支持治疗,观察组给予蔗糖铁注射液联合肠内营养支持治疗,一疗程后评估并对比两组临床疗效,同时观察两组患者治疗前、后血常规相关指标变化情况,统计治疗过程中不良反应发生情况。结果观察组显效率为36.96%,总有效率为89.13%;对照组显效率为15.22%,总有效率为82.61%;观察组临床疗效显著优于对照组(P<0.05)。治疗后两组WBC、Hb及PCV均较治疗前有所改善,组内对比P<0.05;治疗后观察组WBC、Hb及PCV均优于对照组(P<0.05)。治疗后两组患者的铁蛋白与转铁蛋白饱和度均较治疗前有所改善,组内对比P<0.05;治疗后观察组铁蛋白与转铁蛋白饱和度均优于对照组(P<0.05)。观察组不良反应发生率为6.52%,对照组不良反应发生率为39.13%,观察组明显低于对照组(P<0.05)。结论蔗糖铁注射液应用于骨科术后贫血的治疗中具有理想疗效,安全性好,可有效改善血常规各项相关指标,值得临床推广。

Objective To analyze the curative effect of of ron Sucrose Injection combined enteral nutrition preparation intreatment of Anemia of postoperative patients in Department of orthopedics.Methods92merger of postoperative anemia patientswith orthopaedic surgery in our hospital from January2016to March2016were selected as research object,all the patientswere randomly divided into control group and observation group.Patients in control group were treated with conventional ironpreparations with enteral nutrition support therapy,and patients in observation group were treated with sugar iron injection withenteral nutrition support therapy.The clinical curative effect after a procedure of the two groups was evaluated and compared,at the same time,before and after routine blood related index changes,adverse reactions occurred in the process of statisticaltreatment of the two groups were observed.Results The efficiency of observation group was36.96%,and the total efficiency was89.13%.The observation group was effective at15.22%,and the total efficiency was82.61%.The clinical efficacy of observationgroup was significantly better than the control group,P<0.05.The WBC,Hb and PCV of the two groups were improved beforetreatment,P<0.05.The WBC,Hb and PCV of observation group were all better than the control group,P<0.05.The iron andferroprotein saturation of the two groups were improved before treatment,P<0.05.After treatment,the iron and transferroproteinsaturation of observation group were better than the control group,P<0.05.The incidence of adverse reactions was6.52%,and thecontrol group had an adverse reaction rate of39.13%,and the observation group was significantly lower than the control group,P<0.05.Conclusion Sucrose iron injection in the treatment of orthopaedic postoperative anemia has ideal curative effect.It hasgood safety.It can effectively improve the routine blood the relevant indicators,and it is worth clinical promotion.