围术期输血指征评分指导输血方案的安全性与有效性研究  

Study on safety and effect of peri-operative transfusion trigger score

作　　者：苏秀琼[1] 蓝建崇[2] 刘丽芬[1] 任蓬程 

机构地区：[1]广东省惠州市中医医院,516001 [2]广东省惠州市中心血站

出　　处：《齐齐哈尔医学院学报》2013年第20期2982-2984,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨围术期输血指征评分(POTTS)对输血方案指导的安全性与有效性。方法 84例围手术期患者随机分为观察组与对照组每组42例,观察组采用POTTS指导输血,对照组采用《临床输血技术规范(2000年)》指导输血,对比两组患者围手术期输血率、输血量、并发症、死亡率、输血费用、住院时间、术后引流量及术后拆线时间等。结果观察组患者红细胞悬液输注率及输注量均显著低于对照组(P<0.01),两组患者围手术期均未出现严重输血并发症,且无死亡病例发生;观察组患者输血费用显著少于对照组(P<0.01),住院时间、术后拆线时间均显著短于对照组(P<0.01),两组术后引流量比较无统计学差异(P>0.05)。结论 POTTS用于围手术期患者输血的指导,安全有效,可避免不必要的输血,节约血液资源,降低输血费用,缩短住院时间,值得推广。Objective To discuss the safety aI,d effect of transfusion plan guided by Peri- operative transfusion trigger score （POTYS） in perioperative patients. Methods 84 perioperative patients were randomly divided in to the observation group（ n = 42） and the control group（ n = 42）, the transfusion plan of the observation group were guided by PO3TS, and the control group was guided by Journal of Clinical Transfusion technical specification （2000）, then the perioperative blood transfusion rate, amount of blood transfusion, complications, mortality, blood transfusion costs, hospital stay, postoperative drainage, postoperative suture removal time were contrasted between the two groups. Results The perioperative blood transfusion rate and amount of blood transfusion were significantly lower in the observation group than the control group （ P 〈 0. 01 ）, there was no severe complication and death in the two groups; blood transfusion costs in the observation group was significantly lower than the control group（ P 〈 0. 01 ） , hospital stay and postoperative suture removal time were significantly less than the control group （ P 〈 0. 01 ）, but no significantly difference in postoperative drainage （ P 〉 0. 05 ）. Conclusions PO3TS is safe and effective in guidance of transfusion plan in perioperative patients, it can avoid unnecessary blood transfusions, save blood resource, reduce blood transfusion costs, shorten hospital stay, and is worthy of promotion.

关 键 词：围术期 输血指征评分 安全性 有效性 

分 类 号：R457.1[医药卫生—治疗学]