不同严重程度早产贫血患儿输血治疗的临床效果分析  

Clinical effect of blood transfusion inpremature infants with anemia of different severity

作　　者：王喆[1] WANG Zhe(Nanyang Second People's Hospital,Nanyang 473000,China)

机构地区：[1]南阳市第二人民医院,河南南阳473000

出　　处：《中国输血杂志》2021年第4期365-368,共4页Chinese Journal of Blood Transfusion

摘　　要：目的探讨不同严重程度早产贫血患儿输血治疗的临床效果。方法取2018年1月~2019年12月本院接收的135例早产儿为研究对象,根据其是否存在贫血情况分为研究组(贫血患儿,99例)与对照组(无贫血,36例)。对研究组患儿采取红细胞输注治疗,比较2组生命体征、Hb、Hct以及组织氧饱和度情况。结果治疗后重度组HR为(118.4±9.2)次/min,低于对照组(127.1±12.4)次/min及轻度组(125.7±11.5)次/min(均为P<0.05);治疗后重度组RR为(25.0±4.7)次/min,低于对照组(30.4±5.9)次/min及轻度组(28.5±5.6)次/min(均为P<0.05);治疗后重度组及中度组Hb分别为(140.3±6.5)g/L、(147.4±7.2)g/L,治疗后重度组及中度组Hct分别为(0.43±0.02)L/L、(0.46±0.02)L/L,均较治疗前提高(P<0.05)。重度组患儿治疗后脑氧饱和度及肠道组织氧饱和度分别为(79.2±4.0)%、(80.0±4.3)%,低于对照组(均为P<0.05)。结论输血治疗可显著提升早产贫血患儿Hb及Hct水平,改善组织氧饱和度,效果较为显著。Objective To explore the clinical effect of blood transfusion in children with anemia of different severity. Methods 135 premature infants admitted to our hospital from January 2018 to December 2019 were selected as research subjects. They were divided into study group(n=99) and the control group(n=36) according to the presence or absence of anemia. The children in the study group were treated with red blood cell transfusion, and the vital signs, Hb, Hct and tissue oxygen saturation of the two groups were compared.Results After treatment, HR of severe anemicgroup was(118.4±9.2) times/min, which was significantly lower than that of control group as(127.1±12.4) times/min and mildanemic group as(125.7±11.5) times/min;RR of severe anemic group was(25.0±4.7) times/min, which was significantly lower than that of control group as(30.4±5.9) times/min and mild anemic group as(28.5±5.6) times/min.And the differences were statistically significant(P<0.05).After treatment, Hb in severe anemicgroup and moderate anemic group were(140.3±6.5) g/L and(147.4±7.2) g/L, respectively, and Hct in severe anemic group and moderate anemic group were(0.43±0.02) L/L and(0.46±0.02) L/L respectively, which were significantly higher than those before treatment(P<0.05). After treatment, cerebral oxygen saturation and intestinal tissue oxygen saturation of severe anemic group were(79.2±4.0)%and(80.0±4.3)%, which were significantly lower than those of control group(P<0.05). Conclusion Blood transfusion treatment can significantly improve Hb and Hct levels, as well astissue oxygen saturationof premature infants.

关 键 词：输血治疗 早产贫血患儿 生命指标 组织氧饱和度 

分 类 号：R457.1[医药卫生—治疗学] R556[医药卫生—临床医学]