摘要
目的探讨大量输血患者输血指征评分的安全性及有效性。方法将该院2014年12月至2016年12月外科围术期患者64例作为研究对象,随机分为对照组和观察组。对照组采用《临床输血技术规范》(2000年版)中的标准,结合患者病情,按照医师临床经验决定输血Hb水平,通常在7~10g/dL。观察组采用输血指征评分指导输血。比较2组术后24h Hb水平、术后引流量、术后拆线时间、术后住院时间、输注量、输注率及并发症发生情况。结果观察组术后24hHb水平低于对照组,术后引流量少于对照组,术后拆线时间早于对照组,及术后住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组输注量少于对照组,输注率低于对照组,差异也均有统计学差异(P<0.05)。观察组并发症发生率(3.13%)低于对照组(15.63%),但差异无统计学意义(P>0.05)。结论大量输血患者输血指征评分效果明显,且安全性良好,具重要临床意义。
Objective To investigate the safety and efficacy of transfusion indication in patients with massive transfusion.Methods 64 patients with surgical perioperative period from December 2014 to December2016 were selected from our hospital and randomly divided into control group and observation group.The control group adopted the standard of clinical transfusion technology（2000）in People′s Republic of China Ministry of Health,and combined with the specific conditions of patients,according to the clinical experience of physicians,the level of blood transfusion Hb was determined,usually between 7-10 g/dL.The observation group was guided by blood transfusion index.The level of 24 hafter operation,the flow rate after operation,the time after the operation,the time of postoperative hospitalization,the amount of infusion,the infusion rate and the incidence of complications were compared between the 2 groups.Results The Hb level of the observation group was lower than that of the control group at 24 hafter operation,and the postoperative drainage volume was less than that of the control group.The time of postoperative removal was earlier than that of the control group,and the postoperative hospitalization time was shorter than that of the control group.The difference was statistically significant（P〈0.05）.The infusion rate of the observation group was less than that of the control group,and the infusion rate was lower than that of the control group,and the difference was also statistically significant（P〈0.05）.The incidence of complications in the observation group（3.13%）was lower than that of the control group（15.63%）,but the difference was not statistically significant（P〉0.05）.Conclusion：the blood transfusion indication score of the patients with large blood transfusion is obvious,and the safety is good,and it has important clinical significance.Conclusion The blood transfusion indication score of the patients with large blood transfusion is obvious,and the safety is good,and it has important clinical significance.
出处
《国际检验医学杂志》
CAS
2018年第5期585-587,共3页
International Journal of Laboratory Medicine
基金
南京市卫计委2017专项扶持计划(2017-NW063)
关键词
大量输血
输血指征评分
安全性
有效性
massive transfusion
transfusion indication score
safety
efficacy
