• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2018, Vol. 20 ›› Issue (4): 362-364.DOI: 10.3969/j.issn.1671-2587.2018.04.008

• 临床输血 • 上一篇    下一篇

临床内科患者连续输血后的效果分析

刘丹薇,王苏建   

  1. 213003 江苏省南京医科大学附属常州第二人民医院输血科
  • 收稿日期:2018-01-05 出版日期:2018-08-20 发布日期:2018-08-14
  • 作者简介:刘丹薇(1990–),女,江苏常州人,检验医师,硕士,主要从事输血医学研究,(E-mail)904509773@qq.com。

Analysis of efficacy After Blood Transfusion Continuously in Medical Patients

LIU Dan-wei,WANG Su-jian.   

  1. Department of Transfusion,The Second People's Hospital of Changzhou Affiliated to Nanjing Medical University,Changzhou,Jiangsu 213003
  • Received:2018-01-05 Online:2018-08-20 Published:2018-08-14

摘要: 目的 分析临床内科患者的输血情况,了解输血前后患者血液检测指标的变化,为临床内科患者总结提高输血效率的方案。方法 对本院2016年12月~2017年5月内科患者共116例输血病例进行统计分析,计算其输血前后血液检测指标的变化情况。将116例病例分为连续输血组和非连续输血组,分别统计各组输血后24 h内平均红细胞改变量()和血红蛋白平均改变量()。结果 在116例输血病例中,红细胞平均用量为2.23 U,平均每单位输血量提高红细胞0.21×1012/L,血红蛋白6.30 g/L;基础疾病与24 h内输血效果无明显相关性;与非连续输血组以及连续输血组第1次输血后相比,连续输血组第2次输血后红细胞和血红蛋白的平均改变量均明显增加,差异有统计学意义(P<0.05)。结论 针对内科患者,提倡采用连续输注适量红细胞悬液、输血间隔不超过24 h的输血方案,能明显改善输血效果。

关键词: 血红蛋白, 连续输血, 输血效果

Abstract: Objective To know the changes of hemogram and coagulation index after blood transfusion in medical patients. To provide clinical evidence for improving the transfusion efficacy in medical patients. Methods 116 patients received blood transfusion were screened from December 1st,2016 to May 31st,2017. Blood indicators before and after transfusion were analyzed.116 patients were divided into continuous blood transfusion and discontinuous blood transfusion groups,then we computed the average changes of red blood cells()and hemoglobin()in 24 hours after blood transfusion respectively. SPSS 23.0 software was applied for statistical treatment. Results A total of 116 patients received transfusion.The median red blood cells was 2.23 units. Each unit blood could increase red blood cell 0.21×1012/L and hemoglobin 6.30 g/L. The basic diseases played no significant role in the effect of blood transfusion in 24 hours. Compared with the discontinuous blood transfusion and the first time of the continuous blood transfusion groups,there existed significant differences in the average changes of red blood cells and hemoglobin after second time of the continuous blood transfusion group(P<0.05). Conclusion Medical patients were recommended to be transfused with blood continuously in 24 hours. The effect of blood transfusion would be improved obviously.

Key words: Hemoglobin , Blood transfusion continuously , Transfusion efficacy

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