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目的观察去白细胞成分输血在老年食管癌患者术后早期应用的治疗效果。方法收集需输血治疗老年食管癌患者140例,按具体病情分为去白组76例和悬红组64例,输注去白细胞悬浮红细胞为去白组,输注悬浮红细胞为悬红组,并以同期30例未输血老年食管癌患者为对照组,观察治疗效果。结果输血反应发生率去白组为3.95%低于悬红组的7.81%,差异均有统计学意义(P<0.05);术后感染发生率去白组为7.89%明显低于悬红组的10.93%,差异有统计学意义(P<0.05);术后切口平均愈合时间3组比较差异无统计学意义(P>0.05)。结论老年食管癌术后早期去白细胞成分输血可减少输血反应,减少术后感染率,改善老年患者体质,提高输血疗效,值得临床选择使用。
Objective To observe the effect of leukocyte transfusion on early postoperative esophageal cancer in elderly patients. Methods 140 cases of elderly patients with esophageal cancer who needed blood transfusion were collected. According to the specific conditions, they were divided into two groups: 76 cases in the leukopenia group and 64 cases in the levuo group. The leucocytes were transfused to the leucocyte group, In the same period 30 cases of elderly patients with esophageal cancer were not transfused as a control group, the treatment effect was observed. Results The incidence of transfusion reaction was 3.95% in the control group and 7.81% in the control group. The difference was statistically significant (P <0.05). The incidence of postoperative infection in the control group was 7.89% 10.93%, the difference was statistically significant (P <0.05). There was no significant difference in average healing time between the three groups after operation (P> 0.05). Conclusion Transfusion of leukocyte components in early esophageal cancer after esophageal cancer can reduce the transfusion reaction, reduce the postoperative infection rate, improve the physique of elderly patients and improve the transfusion efficacy, which is worth to be used clinically.