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目的探讨合理使用成分血在上消化道出血输血治疗中的应用效果。方法选取萍乡市人民医院2015年4月—2017年2月收治的上消化道出血患者110例,按照数字奇偶法将患者分为对照组与观察组,各55例。对照组患者在输血治疗期间按照临床输血申请单进行输血治疗。观察组患者在输血治疗期间,通过输血科人员与医院工作人员共同创建输血方案,合理使用成分血进行输血治疗。比较两组患者治疗前后血红蛋白(Hb)、红细胞比容(HCT)、凝血酶原时间(PT)、部分凝血活酶时间(APTT)及血小板计数(PLT)。结果治疗前两组患者Hb、HCT、PT、APTT及PLT比较,差异无统计学意义(P>0.05);治疗后观察组患者Hb、HCT、及PLT高于对照组,PT、APTT短于对照组,差异有统计学意义(P<0.05)。结论合理使用成分血在上消化道出血输血治疗中的应用效果确切,可改善患者凝血功能,提高临床疗效及其生活质量,优化其预后。
Objective To explore the application of rational use of blood components in the treatment of upper gastrointestinal bleeding. Methods 110 patients with upper gastrointestinal bleeding admitted from April 2015 to February 2017 in Pingxiang People’s Hospital were selected, and the patients were divided into control group and observation group according to the numerical parity method. Patients in the control group were transfused according to the clinical transfusion request form during transfusion. Observation group of patients during transfusion therapy, blood transfusion staff and hospital staff to create a transfusion program, the rational use of blood for blood transfusion therapy. The levels of hemoglobin (Hb), hematocrit (HCT), prothrombin time (PT), partial thromboplastin time (APTT) and platelet count (PLT) were compared between the two groups before and after treatment. Results There was no significant difference in Hb, HCT, PT, APTT and PLT between the two groups before treatment (P> 0.05). Hb, HCT and PLT in the observation group were higher than those in the control group after treatment Group, the difference was statistically significant (P <0.05). Conclusion The rational use of blood components in the treatment of upper gastrointestinal bleeding transfusion with the exact effect, can improve coagulation, improve clinical efficacy and quality of life, and optimize its prognosis.