ICU新生儿悬浮红细胞输注次数的影响因素分析  

Analysis on the influencing factors of infusion times of suspension red blood cells in neonates

作　　者：林新梅[1] 陈传艳 黄萍[1] LIN Xin-Mei;CHEN Chuan-Yan;HUANG Ping(Luzhou People's Hospital,Luzhou,Sichuan 646000,China)

机构地区：[1]泸州市人民医院,四川泸州646000

出　　处：《中国妇幼保健》2020年第10期1834-1837,共4页Maternal and Child Health Care of China

基　　金：四川医学重症医学专项课题(2015ZZ006〔GR〕)。

摘　　要：目的探讨ICU新生儿悬浮红细胞输注次数的影响因素,为临床诊治提供参考依。方法选取泸州市人民医院2016年1月-2018年1月收治需要输血的ICU新生儿164例,其中男性84例,女性80例。按照ICU新生儿第1次输血时日龄将其分为3组,<30 d、30 d~、≥60 d。按ICU新生儿出生体质量将其分成3组,<1500 g、1500 g~、≥2000 g。按照ICU新生儿住院时间分成两组,<15 d、≥15 d。按照ICU新生儿是否感染及ICU新生儿母亲在妊娠期间是否有合并症将其分为两组,有、无。使用医用精准测量仪测量患儿体质量,记录输注悬浮红细胞患儿例数、悬浮红细胞输注次数。整理日龄、感染、母体妊娠期合并症及悬浮红细胞输注次数。结果<1500 g、1500 g~悬浮红细胞输注次数2~3次、4次率显著高于≥2000 g,输注1次率显著低于≥2000 g,差异有统计学意义(P<0.05)。女性1次输注率低于男性,2~3次、≥4次率高于男性,差异有统计学意义(P<0.05)。第1次输血日龄中<30 d 1次输注率显著低于30 d~、≥60 d,2~3次、≥4次率高于30 d~、≥60 d,差异有统计学意义(P<0.05)。新生儿有感染、妊娠期母体有合并症输注2~3次、≥4次率显著高于新生儿无感染、妊娠期母体无合并症,差异有统计学意义(均P<0.05)。多因素Logistic回归分析发现,性别、第1次输血日龄、出生体质量、新生儿感染及妊娠期母体合并症是ICU新生儿悬浮红细胞输注次数的独立影响因素。结论性别、第1次输血日龄、出生体质量、新生儿感染及妊娠期母体合并症即是影响ICU新生儿悬浮红细胞输注次数单因素,也是其独立影响因素。其中女性、第1次输血日龄较小、出生体质量低、新生儿感染及妊娠期母体合并症是ICU新生儿悬浮红细胞输注次数的独立危险因素。Objective To explore the influencing factors of infusion times of suspension red blood cells in neonates in ICU,provide a reference basis for clinical diagnosis and treatment.Methods From January 2016 to January 2018,164 neonates needing blood transfusion from ICU in Luzhou People's Hospital were selected,84 male neonates and 80 female neonates were included.According to the age of the first blood transfusion in ICU,the neonates were divided into<30-day group,30 day-group,and≥60-day group.According to neonatal birth weight,the neonates were divided into<1500 g group,1500 g-group,and≥2000 g group.According to neonatal hospitalization time,the neonates were divided into<15-day group and≥15-day group.According to combining with neonatal infection and maternal complications during pregnancy,the neonates were divided into complication group and non-complication group.Neonatal weight was measured by medical precision measuring instrument.The infusion numbers and times of suspension red blood cells were recorded.Age,infection,maternal complications during pregnancy,and infusion times of suspension red blood cells were summarized.Results The rates of transfusion times 2-3,and≥4 in<1500 g group and 1500 g-group were statistically significantly higher than those in≥2000 g group;the rates of transfusion times 1 in<1500 g group and 1500 g-group were statistically significantly lower than that in≥2000 g group(P<0.05).The rate of transfusion times 1 in female neonates was lower than that in male neonates,the rates of transfusion times 2-3,and≥4 in female neonates were higher than those in male neonates,there were statistically significant differences(P<0.05).The rate of transfusion times 1 in<30-day group was statistically significantly lower than those in 30 day-group,and≥60-day group,the rates of transfusion times 2-3,and≥4 in<30-day group were statistically significantly higher than those in 30 day-group,and≥60-day group(P<0.05).The rates of transfusion times 2-3,and≥4 in complication group were statis

关 键 词：ICU 新生儿 悬浮红细胞输注 次数 

分 类 号：R457.1[医药卫生—治疗学] R722.1[医药卫生—临床医学]