|
|
Clinical research progress of polysaccharide iron complex in the treatment of iron deficiency anemia in pregnancy and its effect on neonatal outcome |
WANG Yaoxia1 GUO Caijie2 MENG Peipei2 ZHAN Xiaolin2 DING Haiyan1▲#br# |
1.Department of Pharmacy, the Affiliated Hospital of Qingdao University, Shandong Province, Qingdao 266003, China;
2.Shanghai Pharma Qingdao Growful Pharmaceutical Co.,Ltd., Shandong Province, Qingdao 266510, China |
|
|
Abstract Iron deficiency and iron deficiency anemia have serious short-term and long-term effects on pregnant women and their fetuses. The consensus of clinical guidelines in many countries suggests iron supplementation for iron deficiency and iron deficiency anemia in pregnancy. Clinical studies have found that polysaccharide iron complex is a kind of clinical oral organic iron agent with high iron content, high bioavailability, and little gastrointestinal irritation. Polysaccharide iron complex in the treatment of iron deficiency and iron deficiency anemia in pregnancy effect significantly, can significantly improve maternal natural births, reduce premature occurrence, increase the weight of newborn babies, reduce the incidence of fetal distress, and neonatal asphyxia pregnancy outcomes, and with high safety in clinical use at the same time, only a tiny nausea, constipation, and other adverse reactions occur. This paper reviews this issue, which aims to provide a new drug choice for the clinical treatment of iron deficiency and iron deficiency anemia in pregnant women and improve maternal and infant outcomes.
|
|
|
|
|
[1] 中国儿童、孕妇、育龄妇女铁缺乏症流行病学调查协作组.中国孕妇、育龄妇女铁缺乏症患病率调查[J].中华血液学杂志,2004,25(11):16-20.
[2] 董亚茹,陈贵堂.多糖铁复合物研究进展[J].食品安全质量检测学报,2015,6(8):2890-2895.
[3] 中华医学会围产医学分会.妊娠期铁缺乏和缺铁性贫血诊治指南[J].中华围产医学杂志,2014,17(7):451-454.
[4] 赵晋英,王晴,李金成.妊娠期铁代谢研究进展[J].邵阳学院学报(自然科学版),2019,16(6):81-89.
[5] 漆洪波,杨慧霞.孕前和孕期保健指南(2018)[J].中华围产医学杂志,2018,21(3):145-152.
[6] American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 95:anemia in pregnancy [J]. Obstet Gynecol,2008,112:201-207.
[7] Milman N. Prepartum anaemia:prevention and treatment [J]. Ann Hematol,2008,87(12):949-959.
[8] Pavord S,Myers B,Robinson S,et al. UK guidelines on the management of iron deficiency in pregnancy [J]. Br J Haematol,2012,156:588-600.
[9] Pavord S,Daru J,Prasannan N,et al. UK guidelines on the management of iron deficiency in pregnancy [J]. Br J Haematol,2020,188(6):819-830.
[10] Faughnan ME,Mager JJ,Hetts SW,et al. Second International Guidelines for the Diagnosis and Management of Hereditary Hemorrhagic Telangiectasia [J]. Ann Intern Med,2020,173(12):989-1001.
[11] 袁雨,漆洪波.结合中国实践谈WHO 2016年孕期保健指南[J].中国实用妇科与产科杂志,2017,33(6):567-571.
[12] 李敬,许丹,邹宁,等.多糖铁复合物胶囊联合复合维生素片治疗和预防育龄妇女及孕妇铁缺乏和缺铁性贫血的临床用药分析[J]临床合理用药杂志,2018,11(8):96-97.
[13] 成芳,周俊霞,范莉君.多糖铁复合物治疗妊娠期缺铁性贫血300例疗效观察[J].内蒙古中医药,2012,31(18):64-65.
[14] 刘俊丽.妊娠期缺铁性贫血的治疗[J].黑龙江医学,2015(10):1153-1154.
[15] 代会波,刘玉华.多糖铁复合物治疗妊娠中期缺铁性贫血86例疗效观察[J].药品评价,2016,13(8):53-55.
[16] 陈华萍.多糖铁复合物治疗孕妇缺铁性贫血的临床观察[J].海峡药学,2011,23(12):184-185.
[17] 韩国雄,蒋白丽,沈括,等.多糖铁胶囊治疗妊娠合并缺铁性贫血的临床疗效及不良反应观察[J].当代医学,2019,25(6):162-164.
[18] 苏春宏,何玉甜,陈敦金,等.多糖铁胶囊治疗妊娠合并缺铁性贫血的临床疗效[J].热带医学杂志,2012,12(2):205-207.
[19] 莫有珍,白婷.多糖铁复合物胶囊联合健脾生血片治疗妊娠期缺铁性贫血的疗效观察[J].健康研究,2018,38(2):234-235,237.
[20] 郭苑莉,陈姗.生血宝合剂对妇科围手术期缺铁性贫血患者的治疗价值[J].实用妇科内分泌杂志(电子版),2019,6(4):74-75.
[21] 纪春花.生血宁联合多糖铁复合物治疗妊娠期缺铁性贫血的疗效及安全性观察[J].中外女性健康研究,2018(12):91-92.
[22] 周振昭,吴立明,陈宇.补中益气颗粒联合多糖铁复合物治疗妊娠期缺铁性贫血疗效和安全性分析[J].国际生殖健康/计划生育杂志,2019,38(2):116-119.
[23] 范晓东,王如,常闻艳.妊娠晚期缺铁性贫血对妊娠结局的影响[J].国际妇产科学杂志,2014(3):274-276.
[24] 袁晶.多糖铁联合维生素A、维生素B2、叶酸治疗妊娠贫血的疗效及对新生儿结局的效果观察[J].中国实用医药,2018,13(26):126-128.
[25] 李杰,徐伯兰.多糖铁复合物胶囊治疗妊娠期缺铁性贫血的疗效观察[J].现代药物与临床,2021,36(12):2627-2631.
[26] 蒋井京,王月娟.多糖铁复合物在孕期改善孕产妇围产儿结局的应用分析[J].海峡药学,2012,24(11):240-241.
[27] 郭晓梅.妊娠期缺铁性贫血对产科妊娠结局的影响[J].临床医药文献电子杂志,2019,6(18):77-78.
[28] Kianpour S,Ebrahiminezhad A,Heidari R,et al. Enterobacter sp. Mediated Synthesis of Biocompatible Nanostructured Iron-Polysaccharide Complexes:a Nutritional Supplement for Iron-Deficiency Anemia [J]. Biol Trace Elem Res,2020,198(2):744-755.
[29] 韩红.多糖铁复合物治疗妊娠期缺铁性贫血的疗效观察[J].临床合理用药杂志,2015,8(23):64-65.
[30] 郝莉.妊娠期缺铁性贫血患者采用健脾生血片与多糖铁复合物胶囊治疗的临床效果及不良反应分析[J].中西医结合心血管病电子杂志,2020,8(15):26.
[31] 潘迎,武明辉,谢争,等.北京市孕产妇贫血患病率分析[J].中国妇幼保健,2007,22(10):1364-1366.
[32] 史桂兰.孕期妇女铁缺乏症研究进展[J].国外医学.妇产科学分册,1998,25(3):142-145.
[33] O’Donnell AM,Carmuega ES,Durán P. Preventing iron deficiency in infants and preschool children in Argentina [J]. Nutr Rev,1997,55(6):189-194. |
|
|
|