摘要
目的探讨重度烧伤患者非休克期采用2种不同输血策略的输血治疗效果,为临床合理用血提供参考依据。方法将本院2019年7月2020年12月烧伤科收治的74例重度烧伤患者分为限制性输血组和开放性输血组,回顾性分析2组患者输血量、输血前后RBC、Hb、输血不良反应发生率、术后感染率、住院时长和30 d死亡率的差异。结果 1)限制性输血组输血量[(9.58±7.43)U]低于于开放性输血组输血量[(22.24±20.08)U],(P<0.05);2)限制性输血组每单位红细胞输注后对Hb的提升量[(4.98±3.37)g/L]要高于开放性输血组[(3.28±3.12)g/L],(P<0.05);3)2组患者的术后感染率、输血不良反应发生率、住院时长和30 d死亡率相比无差异(P>0.05)。结论重度烧伤患者非休克期输血治疗时,能减少输血频次,降低输血带来的风险,节约血液资源,对临床合理安全用血有重要意义。
Objective To investigate the effect of two different blood transfusion strategies in non-shock stage of sever burn patients, so as to provide reference for clinical rational use of blood. Methods 74 cases of severe burn patients in our hospital from July 2019 to December 2020 were randomly divided into restrictive transfusion group and liberal transfusion group. The differences of blood transfusion volume, red blood cell(RBC) count before and after blood transfusion, Hb value, incidence of transfusion adverse reactions, postoperative infection rate, length of hospital stay, and 30 day mortality between the two groups were retrospectively analyzed. Results 1) The blood transfusion volume of the restricted blood transfusion group[(9.58±7.43)U] was statistically less than that of the liberal blood transfusion group[(22.24±20.08)U](P<0.05). 2) The increase of Hb per unit of RBC in the restrictive transfusion group[(4.98±3.37)g/L] was higher than that in the liberal transfusion group[(3.28±3.12)g/L], and the difference was statistically significant.(P< 0.05). 3) There were no significant differences in postoperative infection rate, incidence of transfusion adverse reaction, length of stay and 30 day mortality between the two groups(P> 0.05). Conclusion Limited blood transfusion treatment for severe burn patients in non-shock stage can reduce the frequency and risk of blood transfusion and save blood resources, which is of great significance for rational and safe blood use in clinic.
作者
叶海婷
胡继军
王梅
刘若兰
YE Hai ting;HU Jijun;WANG Mei;LIU Ruolan(Department of Blood Transfusion,The Third Hospital of Wuhan,Wuhan 430000,China)
出处
《中国输血杂志》
CAS
2021年第6期607-609,共3页
Chinese Journal of Blood Transfusion
关键词
烧伤
限制性输血
红细胞
治疗效果
burn
restricted blood transfusion
red blood cell
treatment effect
作者简介
通信作者:胡继军(1968.12-),男,主任技师,主要从事临床输血研究,电话:027-68894698,Email:823072309@qq.com。
