改良采血法避免ICU冠状动脉旁路移植术后患者诊断性失血的效果  

Effects of Improved Blood Collection Methods on the Diagnosis Hemorrhagic for Patients after Coronary Artery Bypass Grafting

作　　者：陈琦[1] 王兆鹏[1] 

机构地区：[1]常州市第二人民医院重症监护室,江苏常州213003

出　　处：《解放军护理杂志》2014年第1期73-74,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的改良冠状动脉旁路移植术后患者的采血方法,以避免ICU诊断性失血的发生。方法便利抽样选取2011年7-12月我院ICU收治的冠状动脉旁路移植术后患者42例,采用随机数字表法将其分为常规采血组和改良采血组,每组21人。观察两组患者手术后3d平均采血总量、红细胞、血红蛋白检验值以及深静脉感染和动脉血栓发生率。结果改良采血组患者采血总量明显减少,红细胞、血红蛋白明显增高,与常规组比较差异有统计学意义(均P<0.05);两组间深静脉感染和动脉血栓发生率差异无统计学意义(P>0.05)。结论改良采血法能有效避免ICU冠状动脉旁路移植术后患者诊断性失血的发生,值得在临床推广应用。Objective To investigate the effects of improved blood collection methods for patients after coronary artery bypass grafting to avoid the occurrence of the diagnosis of hemorrhagic in ICU. Methods By convenience sampling,a total of 42 patients with coronary artery bypass grafting in ICU were divided into observational group and control group, with 21 patients in each group. Patients in the observational group were given improved blood collection methods, while patients in the control group were given routine method for blood collection. Total average blood,red blood cell （RBC）,hemoglobin （ HGB ）,incidence of deep venous infection three days after operation were compared between both groups. Results Sampling quantity decreased significantly, red blood cell （ RBC ）, hemoglobin （ HGB ） dominant increased significantly （P〈0.05） in the observational group. And no significant difference was found in the incidence of deep venous infection（P〉0.05）. Conclusion The modified coronary artery bypass grafting method can effectively avoid the occurrence of the diagnosis of hemorrhagic in ICU,which is worthy of further clinical application.

关 键 词：诊断性失血 改良采血法 冠状动脉旁路移植术 

分 类 号：R472.2[医药卫生—急诊医学]