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Demir Eksikliği Anemisinin Tedavisinde Oral Ferros Sülfat ve Ferrik Polimaltozun Etkinliğinin Karşılaştırılması

The Comparison of Ferrous Sulphate and Ferric Polymaltose Treatment Efficacy of Iron Deficiency Anemia

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Abstract (2. Language): 
Background: The effect of ferric polymaltose in therapy of iron deficiency anemia is disputatious. In a prospective, randomised study, a bivalent iron salt (ferrous sulphate) was compared with a trivalent ferric hydroxide complex (ferric polymaltose) to compare treatment efficiancy and side effects. Material and Methods: A total 60 females diagnosed as having iron deficiency anemia with clinical and laboratory findings are divided into two groups. Ferrous sulphate (160 mg /daily) was given to one group and ferric polymaltose (1 60 mg/daily) was given to the other for six weeks. Hemoglobin, mean corpuscular volume, transferrin saturation and serum ferritin level were studied in both groups before and after therapy. Findings: Hemoglobin was increased in the group with ferrous sulphate therapy, but no statistical difference was found on mean corpuscular volume, transferrin saturation and serum ferritin level between two groups. Conclusion: Ferrous sulphate threapy elevated the hemoglobin level in a shorter time than ferric polymaltose therapy.
Abstract (Original Language): 
Amaç: Demir eksikliği anemisi tedavisinde ferrik polimaltozun etkinliği tartışmalıdır. İki değerlikli demir tuzu (ferros sülfat) ile üç değerlikli demir hidroksi karbonhidrat kompleksinin (ferrik polimaltoz) prospektif rand omize klinik bir çalışmada tedavi etkinliği ve yan etkilerinin karşılaştırılması amaçlandı. Gereç ve Yöntem: Demir eksikliği anemi tanısı konulan 60 kadın olgu iki gruba ayrıldı. Altı hafta süreyle bir gruba 160 mg/gün ferros sülfat, diğer gruba ise 160 mg /gün ferrik polimaltoz verildi. Tedavi öncesi ve sonrası hemoglobin, ortalama eritrosit hacmi, transferrin saturasyonu ve serum ferritin düzeyleri çalışıldı. Bulgular: Tedavi sonrası hemoglobin, ferros sülfat kullanan grupta ferrik polimaltoz kullanan grub a göre anlamlı olarak daha yüksek olmasına karşın iki grup arasında ortalama eritrosit hacmi, transferrin saturasyonu ve serum ferritin düzeylerinde farklılık tespit edilemedi. Sonuç: Ferros sülfat tedavisi, hemoglobini daha kısa sürede yükseltmiştir.
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