孕期口服补铁：当前推荐及循证医学。
Oral Iron Supplementation in Pregnancy: Current Recommendations and Evidence-Based Medicine.
机构信息
USF Alcaides de Faria - ACES Barcelos-Esposende - ARS Norte.
USF Santo António- ACES Barcelos-Esposende - ARS Norte.
出版信息
Rev Bras Ginecol Obstet. 2021 Oct;43(10):782-788. doi: 10.1055/s-0041-1736144. Epub 2021 Nov 16.
OBJECTIVE
To review the evidence about universal iron supplementation in pregnancy to prevent maternal anemia.
METHODS
Bibliographic research of randomized and controlled clinical trials, meta-analyses, systematic reviews, and clinical guidelines, published between August 2009 and August 2019, using the MeSH terms: ; ; , .
RESULTS
We included six clinical guidelines, three meta-analyses and one randomized controlled clinical trial.
DISCUSSION
Most articles point to the improvement of hematological parameters and reduction of maternal anemia risk, with supplementary iron. However, they do not correlate this improvement in pregnant women without previous anemia with the eventual improvement of clinical parameters.
CONCLUSION
Universal iron supplementation in pregnancy is controversial, so we attribute a SORT C recommendation strength.
目的
综述关于在妊娠期间普遍补铁以预防孕妇贫血的证据。
方法
检索 2009 年 8 月至 2019 年 8 月发表的随机对照临床试验、荟萃分析、系统评价和临床指南，使用 MeSH 术语：、、、。
结果
我们纳入了 6 项临床指南、3 项荟萃分析和 1 项随机对照临床试验。
讨论
大多数文章都指出补充铁剂可以改善血液学参数并降低孕妇贫血的风险。然而，它们并没有将无先前贫血的孕妇的这种改善与最终临床参数的改善联系起来。
结论
妊娠期间普遍补铁存在争议，因此我们给予推荐强度为 SORT C。
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