ภาวะโลหิตจางจากการขาดธาตุเหล็กในผู้ป่วยไตวายเรื้อรังที่ทำการฟอกเลือดในโรงพยาบาลพระจอมเกล้า จังหวัดเพชรบุรี

บทคัดย่อ

The most common cause of anemic condition in hemodialysis patients that treatment with erythropoietin were from iron deficiency. The objective of this study to find the rate of iron deficiency anemia in hemodialysis patients that continue in Phrachomklao Hospital, Phetchaburi province and to confirm the efficacy of intravenous iron treatment in iron deficiency anemia.

Method : A retrospective study were done in 23 patients that undergoing hemodialysis. The data were corrected from September 2007 to February 2008.

Result : The 23 patients are 12 males and 11 females. The cause of end-stage renal disease were from the diabetes in 9 patients, Autosomal Dominant Polycystic Kidney Disease in 3 patients, 11 unknown ` cause patients. This study found 11 patients (47%) with anemia condition from iron deficiency anemia that diagnostic of iron deficiency anemia in 3 patients (13%), functional iron deficiency anemia in 8 patients (34%). The iron deficiency anemia patients were treated by intravenous iron, can increase hematocrit (%) from 30.9 ± 0.5% to 32.6 ±0.5% and 35.2 ± 1.1% at 1 month and 4 months after treatment. No one of the patients in this study have complications from intravenous iron treatment.

Summary : The iron deficiency anemia in hemodialysis patients are important problem. Some patients that serum ferritin and transferrin saturation couldnt diagnose absolute iron deficiency anemia. The intravenous iron treatment in case of suspect functional iron deficiency anemia are necessary.