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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/ms2023-105</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-7499</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ГИНЕКОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>GYNECOLOGY</subject></subj-group></article-categories><title-group><article-title>Опыт применения препарата с пролонгированным высвобождением железа у пациентов с дефицитом железа</article-title><trans-title-group xml:lang="en"><trans-title>Experience with the prolonged release of iron in iron deficiency patients</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0535-2916</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дроздов</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Drozdov</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дроздов Владимир Николаевич, д.м.н., профессор, профессор кафедры клинической фармакологии и пропедевтики внутренних болезней </p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Vladimir N. Drozdov, Dr. Sci. (Med.), Professor of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases </p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">vndrozdov@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6589-7654</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ших</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shikh</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ших Евгения Валерьевна, д.м.н., профессор, заведующая кафедрой клинической фармакологии и пропедевтики внутренних болезней </p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Evgenia V. Shikh, Dr. Sci. (Med.), Chair of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases </p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">chih@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7430-3341</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Астаповский</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Astapovskii</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Астаповский Александр Алексеевич, к.м.н., ассистент кафедры клинической фармакологии и пропедевтики внутренних болезней </p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Alexandr A. Astapovskii, Cand. Sci. (Med.), Assistant of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases </p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">al.astapovskii@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9460-7289</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цветков</surname><given-names>Д. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsvetkov</surname><given-names>D. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цветков Дмитрий Николаевич, ассистент кафедры клинической фармакологии и пропедевтики внутренних болезней </p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Dmitry N. Tsvetkov, Assistant of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases </p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">cvetkovdima282@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>05</day><month>05</month><year>2023</year></pub-date><volume>0</volume><issue>6</issue><fpage>135</fpage><lpage>143</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дроздов В.Н., Ших Е.В., Астаповский А.А., Цветков Д.Н., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Дроздов В.Н., Ших Е.В., Астаповский А.А., Цветков Д.Н.</copyright-holder><copyright-holder xml:lang="en">Drozdov V.N., Shikh E.V., Astapovskii A.A., Tsvetkov D.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/7499">https://www.med-sovet.pro/jour/article/view/7499</self-uri><abstract><p>Дефицит железа является одним из ведущих факторов глобального бремени болезней, затрагивающих преимущественно детей, женщин в пременопаузе и людей с низким и средним уровнем дохода. При длительном железодефиците развивается железодефицитная анемия (ЖДА), которая, по оценкам Всемирной организации здравоохранения (ВОЗ), остается самым распространенным типом анемии во всем мире. К наиболее частым причинам ЖДА относятся желудочно-кишечные кровотечения, менструальная кровопотеря и беременность у женщин. В настоящее время золотым стандартом терапии ЖДА считаются препараты двухвалентного железа. На сегодняшний день существуют препараты двухвалентного железа с замедленным высвобождением. Преимущество данной формы состоит в том, что такие препараты лучше переносятся, у них ниже частота развития побочных эффектов при сопоставимой биодоступности и эффективности по сравнению с обычными формами. К таким препаратам относится Тардиферон®. В проведенном нами исследовании было отмечено, что на фоне приема препарата Тардиферон® уровень ферритина к  концу 1-го месяца терапии у  больных с  ЖДА вырос с  9,7  ±  1,3  до  25,4  ±  5,1  мкг/л, а  к  концу 3-го месяца до 246,7 мкг/л (р ≤ 0,05). Похожую динамику мы отметили в уровне гемоглобина: у больных с ЖДА он вырос с 97,4 ± 9,3 до 125,8 ± 10,2 г/л (р ≤ 0,05) и у 21 (75%) из 28 больных достиг нормальных значений (более 120 г/л) уже к концу 1-го месяца терапии. К 3-му месяцу терапии уже все пациенты с ЖДА достигли целевого уровня, а среднее значение гемоглобина в группе составило 142,1 ± 5,6 г/л (р ≤ 0,05). Таким образом, у пациентов с ЖДА на фоне терапии препаратом Тардиферон® нормализуются показатели гемограммы, увеличивается концентрация гемоглобина и ферритина уже к концу 1-го месяца терапии.</p></abstract><trans-abstract xml:lang="en"><p>Iron deficiency is one of the leading factors in the global burden of disease, affecting mainly children, premenopausal women and low- and middle-income people. With prolonged iron deficiency, iron deficiency anemia (IDA) develops, which, according to the World Health Organization (WHO), remains the most common type of anemia worldwide. The most common causes of IDA include gastrointestinal bleeding, menstrual blood loss and pregnancy in women. Currently, divalent iron preparations are considered the “gold standard” of IDA therapy. To date, there are preparations of divalent iron with delayed release. The advantage of this form is that such drugs are better tolerated, they have a lower incidence of side effects with comparable bioavailability and efficacy compared to conventional forms. Such drugs include Tardyferon®.In our study, it was noted that against the  background of  taking Tardyferon®, the level of ferritin by the end of the 1st month of therapy in patients with latent iron deficiency increased from 12.4 ± 0.93 to 27.8  ± 4.1 µg/L (p ≤ 0.05). In patients with IDA, it increased from 9.7 ± 1.3 to 25.4 = 5.1 µg/L. By the end of the 3rd month of treatment, the ferritin level in patients with latent iron deficiency was 200.1 ± 30.8 (p &lt; 0.05), and in patients with IDA – 246.7 µg/L (p &lt; 0.05). We noted a similar dynamic in the hemoglobin level: in patients with IDA, it increased from 97.4 ± 9.3 g/L to 125.8 ± 10.2 g/l (p &lt; 0.05), and in 21 (75%) of 28 patients it reached normal values (more than 120 g/L) by the end of the 1st months of therapy.By the 3rd month of  therapy, all patients with IDA had already reached the  target level, and the  average hemoglobin value in  the group was 142.1 ± 5.6 g/L (p = 0.05).Thus, in patients with IDA, against the background of therapy with Tardyferon®, hemogram indicators normalize, the concentration of hemoglobin and ferritin increases by the end of the 1st month of therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дефицит железа</kwd><kwd>железодефицитная анемия</kwd><kwd>Тардиферон</kwd><kwd>двухвалентное железо</kwd><kwd>пролонгированное высвобождение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>latent iron deficiency</kwd><kwd>iron deficiency anemia</kwd><kwd>Tardyferon</kwd><kwd>ferrous iron</kwd><kwd>prolonged release</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">McLean E., Cogswell M., Egli I., Wojdyla D., de Benoist B. 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