摘要
目的:探究基于血栓弹力图检测结果的输血方案在创伤患者治疗中的应用效果。方法:选取2023年1—12月常州市第一人民医院创伤中心收治的126例患者作为研究对象,随机分为两组,各63例。常规组实施基于常规凝血功能指标结果的输血方案,观察组实施基于血栓弹力图检测结果的输血方案。比较两组凝血功能指标、血液制品使用量、止血效果。结果:输血前,两组凝血酶原时间、活化部分凝血活酶时间比较,差异无统计学意义(P>0.05);输血后,两组凝血酶原时间、活化部分凝血活酶时间缩短,且观察组短于常规组(P<0.05)。观察组红细胞、新鲜冷冻血浆、冷沉淀、血小板使用量均低于常规组(P<0.05)。与常规组比较,观察组治疗总有效率更高(P<0.05)。结论:基于血栓弹力图检测结果的输血方案在创伤患者治疗中的应用效果较好,能够优化输血方案,减少血液制品使用量,改善患者凝血功能,提高止血效果。
Objective:To investigate the application effect of blood transfusion regimen based on thromboelastography testing results in treatment of patients with trauma.Methods:A total of 126 patients admitted to the Trauma Center at the First People's Hospital of Changzhou from January 2023 to December 2023 were selected as the study subjects.They were randomly divided into two groups,with 63 cases in each group.The routine group implemented blood transfusion regimen based on the results of routine blood coagulation function indicators,and the observation group implemented blood transfusion regimen based on the results of thromboelastography testing.The blood coagulation function indicators,the amount of blood products used,and the hemostasis effect were compared between the two groups.Results:Before blood transfusion,there was no significant difference in prothrombin time and activated partial thromboplastin time between the two groups(P>0.05).After blood transfusion,the prothrombin time and activated partial thromboplastin time in the two groups shortened,and the time in the observation group were shorter than those in the routine group(P<0.05).The amounts of red blood cells,fresh frozen plasma,cryoprecipitate and platelets used in the observation group were lower than those in the routine group(P<0.05).The total effective rate of treatment in the observation group was higher than that in the routine group(P<0.05).Conclusion:The blood transfusion regimen based on thromboelastography testing results has a good application effect in the treatment of patients with trauma,and can optimize the blood transfusion regimen,reduce the amount of blood products used,ameliorate the blood coagulation function of patients,and improve the hemostasis effect.
作者
杨小骏
董文
黄慧
徐婷
Yang Xiaojun;Dong Wen;Huang Hui;Xu Ting(Department of Blood Transfusion,The First People's Hospital of Changzhou,Changzhou 213000,Jiangsu Province,China)
出处
《中国社区医师》
2024年第33期35-37,共3页
Chinese Community Doctors
关键词
血栓弹力图
输血
创伤
Thromboelastography
Blood transfusion
Trauma
作者简介
通信作者:徐婷。
