产科限制性输血策略的临床研究  

Clinical reseach of restrictive transfusion strategy in obstetrics patients

作　　者：涂源泉[1] 姚富柱[1] 马海莉[1] 周宗敏[1] 

机构地区：[1]昆明血液中心,云南昆明650106

出　　处：《云南医药》2015年第3期268-270,共3页Medicine and Pharmacy of Yunnan

摘　　要：目的回顾性比较限制性输血与开放性输血策略对产科输血患者的预后。方法收集某三甲医院2013年产科输血患者病案65例,将血红蛋白<70g/L开始输血的28例设为限制性输血组,血红蛋白<100g/L开始输血的37例设为开放性输血组,比较不同输血策略的预后。结果限制性输血组的年龄、孕周、失血量、输血量、住院时长与开放性输血组间差异不具统计学意义;体重、输血起始值低于开放性输血组(P<0.05);输血后血红蛋白改变值优于开放性输血组;输血不良反应发生率未纳入统计。结论在产科输血患者,应用限制性输血策略是可行的。Objective To compare the clinical outcomes between the restrictive transfusion and liberal transfusion strategy in obstetrics patients. Methods To check 65 medical documents with transfusion record in a third-grade class-A hospital in 2013. Restrictive transfusion group was adopted in 28 patients whose the concentration of hemoglobin （Hb） were less than 70g/L before transfusion. Liberal transfusion group was adopted in 37 patients whose Hb were less than The outcomes of different transfusion strategies were compared. Results It demonstrated significant differences between the two groups with regard to the beginning Hb and the weight （P〈0.05）. No significant differences were observed on age, pregnant week, the volumes of transfused blood and lost blood, and the length of hospital stay between the two groups. The mean restrictive transfusion group, but does not in liberal transfusion can be applied in obstetrics patients. post transfusion Hb achieves the desired result in group. Conclusion Restrictive transfusion strategy

关 键 词：限制性输血 开放性输血 产科 血红蛋白 

分 类 号：R457.1[医药卫生—治疗学]