Rawat Sarika, Jain Pooja, Marawi Dolly, Choudhary Varsha Rani, Mandloi Roshan
Department of Obstetrics and Gynecology, Dr. Laxmi Narayan Pandey Government Medical College, Ratlam, Madhya Pradesh, India.
Department of Obstetrics and Gynecology, Netaji Subhash Chadra Bose Medical College and Hospital, Jabalpur, Madhya Pradesh, India.
J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S736-S738. doi: 10.4103/jpbs.jpbs_1598_24. Epub 2025 Apr 17.
Intravenous iron supplementation can pose a risk of producing free iron in circulation as free iron is well-established in generating the free radicals that have a role in oxidative stress that reduces IDA (iron deficiency anemia).
The present study aimed to study the intravenous iron sucrose in antioxidant status and oxidative stress in pregnant females with iron deficiency anemia.
The present study assessed 40 pregnant females with a confirmed diagnosis of moderate IDA with hemoglobin of 7-9.9 g/dl. Intravenous blood samples were collected before and following treatment with intravenous iron sucrose to assess the antioxidants as reduced glutathione, superoxide dismutase, and catalase and lipid peroxidation markers as malondialdehyde. The data gathered were statistically analyzed for formulation of the results.
A significant increase in the levels of malondialdehyde and no significant changes were seen in the activities of superoxide dismutase and catalase and levels of reduced glutathione after iron deficiency anemia management after the treatment with intravenous iron sucrose for IDA management.
The present study concludes that intravenous iron sucrose infusion is associated with oxidative stress as confirmed by an increase of lipid peroxidation in antenatal females with iron deficiency anemia.
静脉补铁可能会带来循环中产生游离铁的风险,因为游离铁在产生自由基过程中已被充分证实,而自由基在氧化应激中起作用,氧化应激会加重缺铁性贫血(IDA)。
本研究旨在探讨静脉注射蔗糖铁对缺铁性贫血孕妇抗氧化状态和氧化应激的影响。
本研究评估了40例确诊为中度IDA且血红蛋白为7 - 9.9 g/dl的孕妇。在静脉注射蔗糖铁治疗前后采集静脉血样,以评估抗氧化剂(如还原型谷胱甘肽、超氧化物歧化酶和过氧化氢酶)以及脂质过氧化标志物(如丙二醛)。对收集的数据进行统计学分析以形成结果。
静脉注射蔗糖铁治疗缺铁性贫血后,丙二醛水平显著升高,超氧化物歧化酶和过氧化氢酶活性以及还原型谷胱甘肽水平未见显著变化。
本研究得出结论,静脉注射蔗糖铁与氧化应激有关,这在缺铁性贫血的产前女性中表现为脂质过氧化增加得到证实。