科学输血对胃癌手术患者的意义

Significance of Science transfusion of thd patients with gastric carcinoma.

目的探讨科学输血对胃癌患者术后感染和复发率的影响及意义。方法回顾性分析:①新输血指征对胃癌患者术后感染率的影响;②成分输血对术后2年复发率影响。结果A组(采用新指征前)输血率为41.2%(89/216),术后感染率为21.3(46/216),B组(采用新指征后)输血率为18.0%(44/245),感染率为7.8%(19/245)。A、B组之间输血率、术后感染率均有显著性差异(P<0.01)。C组(全血输注组)2年复发率36.8%(32/87),D组(红细胞制品组)为32.6%(15/46)。C、D组之间复发率无显著性差异(P>0.05)。结论科学输血使患者术后感染率显著降低,临床推广很有意义。

Objective To explore the significance of Science transfusion with analyzing the postoperative infection rate and 2- year relapse rate for the patients gastric with carcinoma. Methods We retrospective analysised the effect of infection rate for the patients with gastric carcinoma with the transfusional indication change and the relapse rate of component blood transfusion. Results The transfusional rate was 41.2% （89/216） and postoperative infection rate was 21 .3 % （46/216） in group A（ before new transfusioanl indication ）. The transfusional rate was 18.0 % （ 44/245 ） and postoperative infection rate was 7.8 % （ 19/245 ） in group B （ after new transfusioanl indication） .The transfusional rate and polstoperative infection arte had significant difference between A and B group. （ P 〈 0.01 ） .2-year relapse rate was 36.8 % （ 32/87 ） in group C （ whole blood transfusion ）, and it was 32.6 （ 15/46 ） in group D （ erythrocyte transfusion ） . 2- year relapse rate had no significant difference between C and D group（ P 〉 0.05 ）. Conclusion Science transfusion could markdly decrease the postoperative infection rate for the patients with gastric carcinoma,it is worth to generalize in clinic.