老年患者营养缺乏性贫血的最新进展。

Update of nutrient-deficiency anemia in elderly patients.

作者信息

Andrès Emmanuel, Federici Laure, Serraj Khalid, Kaltenbach Georges

机构信息

Department of Internal Medicine, University Hospital of Strasbourg, Strasbourg, France.

出版信息

Eur J Intern Med. 2008 Nov;19(7):488-93. doi: 10.1016/j.ejim.2008.01.016. Epub 2008 Mar 14.

DOI:10.1016/j.ejim.2008.01.016

PMID:19013375

Abstract

Anemia, defined as a hemoglobin level < 13 g/dL in men and < 12 g/dL in women, is an important healthcare concern among the elderly. Nutrient-deficiency anemia represents one third of all anemias in elderly patients. About two thirds of nutrient-deficiency anemia is associated with iron deficiency and most of those cases are the result of chronic blood loss from gastrointestinal lesions. The remaining cases of nutrient-deficiency anemia are usually associated with vitamin B12, most frequently related to food-cobalamin malabsorption, and/or folate deficiency and are easily treated (nutrient-deficiency replacement).

摘要

贫血定义为男性血红蛋白水平<13 g/dL，女性血红蛋白水平<12 g/dL，是老年人重要的医疗保健问题。营养缺乏性贫血占老年患者所有贫血病例的三分之一。约三分之二的营养缺乏性贫血与缺铁有关，其中大多数病例是胃肠道病变慢性失血的结果。其余营养缺乏性贫血病例通常与维生素B12有关，最常见的是与食物钴胺素吸收不良和/或叶酸缺乏有关，且易于治疗（补充营养缺乏物质）。