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孕期铁剂或铁-叶酸-维生素B12联合治疗?(作者译)

[Iron or combined iron-folic acid-vitamin B12 therapy during pregnancy? (author's transl)].

作者信息

Primbs K, Göltner E, Lingenberg G

出版信息

MMW Munch Med Wochenschr. 1977 Jun 24;119(25):865-8.

PMID:408607
Abstract

128 women with mild anemias below 12 g% Hb received 100 mg iron or 100 mg iron, 0.44 mg folic acid and 0.66 mg vitamin B12 daily from the 20th to the 24th weeks of pregnancy until confinement. With pure iron therapy the maternal hemoglobin, erythrocyte, hematocrit and serum levels rose significantly, whereas in the placebo group (37 pregnant women) they fell markedly. Iron-folic acid-vitamin B12 administration led to no improvement in the hemoglobin regeneration or in the serum iron. After 60 days' treatment with the combined iron preparation, a rise in the serum and erythrocyte folate levels had already been achieved in the pregnancy women.

摘要

128名血红蛋白低于12克%的轻度贫血孕妇,在怀孕第20周至第24周期间,每天接受100毫克铁剂或100毫克铁剂、0.44毫克叶酸和0.66毫克维生素B12,直至分娩。单纯铁剂治疗使母体血红蛋白、红细胞、血细胞比容和血清水平显著升高,而在安慰剂组(37名孕妇)中这些指标则明显下降。铁-叶酸-维生素B12联合给药并未使血红蛋白再生或血清铁水平得到改善。在用联合铁制剂治疗60天后,孕妇的血清和红细胞叶酸水平已经升高。

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