成分血输注治疗上消化道出血的效果观察  

Effect of Component Blood Infusion on Upper Gastrointestinal Bleeding

作　　者：刘云霞 Liu Yunxia(Department of Blood Transfusion,Nantong Rudong County People's Hospital,Nantong 226400,Jiangsu Province,China)

机构地区：[1]南通市如东县人民医院输血科,江苏南通226400

出　　处：《中外医药研究》2024年第23期36-38,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:观察成分血输注治疗上消化道出血的效果。方法:选取2021年4月—2023年5月于南通市如东县人民医院输血科接受治疗的上消化道出血患者86例为研究对象,采用随机数字表法分为对照组和观察组,各43例。对照组开展常规输血治疗,观察组在对照组基础上提供合理化成分输血治疗。对比两种不同治疗方案的治疗效果、生命体征及不良反应发生情况。结果:观察组治疗总有效率(90.70%)高于对照组(69.77%)(P=0.015);治疗后,两组血红蛋白、血细胞比容、血小板计数升高,观察组高于对照组(P<0.05);治疗后,两组凝血酶原时间、活化部分凝血活酶时间降低,观察组低于对照组(P<0.05);观察组不良反应发生率(4.65%)低于对照组(20.93%)(P=0.024)。结论:成分血输注治疗上消化道出血的效果显著,可改善患者血常规指标及凝血功能,降低不良反应发生风险。Objective:To observe the effect of component blood infusion on upper gastrointestinal bleeding.Methods:A total of eighty-six patients with upper digestive tract hemorrhage who received treatment in the Department of Blood Transfusion,Nantong Rudong County People's Hospital from April 2021 to May 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with forty-three cases in each group.The control group received routine blood transfusion treatment,and the observation group was provided with rational component blood transfusion treatment on the basis of the control group.The therapeutic effect,vital signs and the occurrence of adverse reactions of two different treatment schemes were compared.Results:The total effective rate of observation group(90.70%)was higher than that of control group(69.77%)(P=0.015);after treatment,the hemoglobin,hematocrit and platelet count of two groups were increased,and the observation group was higher than the control group(P<0.05);after treatment,the prothrombin time and activated partial thrombin time of two groups were decreased,and the observation group was lower than the control group(P<0.05);the incidence of adverse reactions in observation group(4.65%)was lower than that in control group(20.93%)(P=0.024).Conclusion:The effect of component blood infusion on upper gastrointestinal bleeding is significant,which can improve blood routine indexes and coagulation function of patients,and reduce the risk of adverse reactions.

关 键 词：上消化道出血 成分血 输血安全 

分 类 号：R573.2[医药卫生—消化系统]