尿毒症致重度贫血的输血策略研究  

Study on transfusion strategy of uremic anemia

作　　者：陈小兰 李宪 孙秀梅 Chen Xiaolan;Li Xian;Sun Xiumei(Department of Nephrology,Jilin Chemical hospital,Jilin Jilin 132021)

机构地区：[1]吉林市化工医院肾内科,吉林吉林132021

出　　处：《中国社区医师》2020年第25期11-12,共2页Chinese Community Doctors

基　　金：吉林市医疗卫生指导性计划项目(201900979,201900987,201830469,201900977,201830423)。

摘　　要：目的:研究尿毒症致重度贫血的输血策略,分析不同输血策略对此类患者的影响。方法:105例尿毒症致重度贫血患者随机分为对照组(51例)和治疗组(54例),对照组在血液净化完成后输血,治疗组在血液净化2 h时间段输血。结果:两组治疗后血红蛋白、红细胞计数、血尿素氮、血肌酐均较治疗前好转(P<0.05);治疗组患者治疗后舒适度、护理舒适度、整体满意度显著优于对照组(P<0.05)。结论:在血液透析过程中输注红细胞悬液和非透析期间输注洗涤红细胞对于尿毒症伴贫血患者均有改善作用,且前者能使患者舒适感、满意度提高。Objective:To study the transfusion strategy of severe anemia caused by uremia and analyze the influence of different transfusion strategies on such patients.Methods:105 patients with uremic anemia were randomly divided into control group(51 cases)and treatment group(54 cases).The control group received blood transfusion after blood purification,and the treatment group received blood transfusion within 2 hours after blood purification.Results:After treatment,hemoglobin,red blood cell count,blood urea nitrogen and serum creatinine in the two groups were improved compared with those before treatment(P<0.05);the comfort degree,nursing comfort degree and overall satisfaction degree of the treatment group were significantly better than those of the control group(P<0.05).Conclusion:transfusion of RBC suspension during hemodialysis and transfusion of washed RBC during non dialysis can improve the comfort and satisfaction of patients with uremia and anemia.

关 键 词：输血方法 尿毒症 透析 贫血 

分 类 号：R692.5[医药卫生—泌尿科学] R556[医药卫生—外科学]