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上消化道出血患者输血治疗中成分血的合理使用对治疗效果的影响 被引量:10

Effect of rational use of component blood in the treatment of patients with upper gastrointestinal bleeding on blood transfusion
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摘要 目的分析上消化道出血患者输血治疗中成分血的合理使用对治疗效果的影响。方法选择2016年1月至2016年12月在我院接受治疗的90例急性上消化道出血患者,经双盲随机法分成对照组和观察组,每组各45例。对照组根据申请单输血治疗,观察组联用输血科参与并监护输血治疗方案,比较两组患者的止血效果及治疗效果。结果观察组手术时间、再出血率、住院时间及首次止血成功率均优于对照组(P<0.05);观察组治疗后3 h的PLT、PT及APTT水平与对照组比较,差异具有统计学意义(P<0.05)。结论上消化道出血患者输血治疗中成分血的合理使用能够获得良好的治疗效果。 Objective To analyze the effect of rational use of component blood in the treatment of patients with upper gastrointestinal bleeding on blood transfusion.Methods From January 2016 to December 2016,90 cases of acute upper gastrointestinal bleeding who treated in our hospital were selected,and divided into control group and observation group according to the double-blind randomization,with 45 cases in each group.The control group received blood transfusion treatment according to application form,the observation group associated with blood transfusion department and monitoring blood transfusion treatment program.The hemostatic and therapeutic effects of the two groups were compared.Results The operative time,the rebleeding rate,the hospitalization time and the first hemostasis success rate in the observation group were better than those in the control group(P<0.05).Three hours after treatment,the PLT,PT and AP^levels in the observation group were statistically different from those in the control group(P<0.05).Conclusion The rational use of blood components in blood transfusion in patients with upper gastrointestinal bleeding can achieve good therapeutic effect
作者 王麦玲 WANG Mai-ling(Blood Transfusion Department,Shaanxi SengongHospital,Xi'an 710300,China)
出处 《临床医学研究与实践》 2018年第8期16-17,共2页 Clinical Research and Practice
关键词 急性上消化道出血 输血 内镜治疗 成分血 acute upper gastrointestinal bleeding transfusion endoscopic treatment component blood
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