METHOD FOR DIAGNOSTICS AND REHABILITATION OF CHILDREN OF SCHOOL AGE IN IRON-DEFECTIVE CONDITION Russian patent published in 2017 - IPC A61B5/145 A61B10/00 A61K31/4415 A61K33/26 A61K36/185 A61K36/73 A61P7/06 A61M21/00 

FIELD: medicine.

SUBSTANCE: preliminary questioning is carried out and peripheral blood is taken with determination of hemoglobin level, colour index, ferritin, total iron binding ability of serum, serum iron. The results obtained are evaluated using a point system. If a colour index corresponding to the norm is revealed, serum iron level is 14-15 μmol/l, ferritin corresponds to the norm and the level of total iron binding capacity of the serum is less than 63 μmol/l, each indicator is assigned a point equal to 1 - iron deficiency degree coefficient K₁, and the condition is concluded with its compliance with the state of prelatent iron deficiency. If the colour index is normal, serum iron is less than 14 μmol/l, ferritin is 10-11 μg/l, the total iron binding capacity of the serum is also less than 64-69 μmol/l, each indicator is assigned a point equial to 2 - K₂, and condition compliance with the state of latent iron deficiency is concluded. With a hemoglobin decrease relative to the norm and colour index less than 86%, serum ironless than 12 μmol/L, ferritin less than 10 μg/l and the total iron binding capacity of 70 μmol/l and more, each indicator is assigned 3 points - K₃, the state of iron deficiency anemia is concluded. Then the questionnaire is reviewed to identify symptoms such as weakness, fatigue, malaise, poor sleep, decreased concentration, physical development, paleness of skin and mucous membranes, dry skin and hair, layering and lateral pectoral nails, taste perversion, dizziness, headaches, angular stomatitis, shortness of breath at moderate and low physical activity, systolic murmur, clearly heard in the vessels. At that, each identified symptom is assigned 1 point - K₄. The total ΣK value is then determined by the formula ΣK=K₁+K₂+K₃+K₄. If the total of points is 1-10, the schoolchild shall walk in the fresh air for at least 2 hours, eat meat products of not less than 120 g per day, an increased amount of fruits and vegetables, rich in iron, receive herbal infusions, oxygen cocktails, mineral adenous water. At ΣK equal to 11-20 points, multivitamin complexes courses and homeopathic ferrin drug at a dose of 5 granules under the tongue until complete resorption 3 times a day for 2-3 months are added to the above mentioned prescriptions also without missing classes. When ΣK above 20 points, the treatment course includes the scheme provided for schoolchildren with prelatent iron deficiency in combination with the introduction of medicinal iron-containing drugs prescribed by the paediatrician in outpatient or inpatient settings.

EFFECT: increased accuracy and simplification of early preclinical diagnostics of early stages of iron deficiency, increased efficiency of rehabilitation of patients with iron deficiency.

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