妇产科住院患者红细胞输注的临床观察

Clinical observation of red blood cell transfusion in the department of obstetrics and gynecology

目的观察妇产科住院患者进行红细胞输注的情况,探讨其临床应用价值。方法选取2011年1月～2012年12月我院妇产科符合红细胞输注指征的94例患者,根据疾病类型的不同分为4组:产科正常妊娠组(n=20)、产科病理妊娠组(n=32)、妇科肿瘤组(n=22)、妇科非肿瘤组(n=20)。4组患者基线资料无显著差异,具有可比性(P>0.05)。采用日本SYSMEX-XE2100全自动血细胞分析仪,比较4组患者红细胞输注前与输注后24 h的Hb含量。结果 4组患者红细胞输注后24 h的Hb含量较输注前均显著升高,差异均有统计学意义(P均<0.01)。其中产科正常妊娠组输注后24 h的Hb含量较产科病理妊娠组升高,差异有统计学意义(P<0.05);妇科肿瘤组输注后24 h内Hb含量高于妇科非肿瘤组,差异有统计学意义(P<0.05)。94例患者输注后临床均未见溶血性输血反应。结论合理及时地输注红细胞能迅速、有效地提高妇产科住院患者的Hb水平,对于妇产科治疗具有十分重要的临床应用价值。

Objective To observe the effect of department of gynaecology and obstetrics in red blood cell transfusion patients,and to explore its clinical application value. Methods From 2011 January to 2012 December in our hospital obstetrics and gynecology with red blood cells transfusion in 94 patients, according to the different types of diseases into 4 groups：normal pregnancy group （n = 20）, pathological pregnancy group （n=32）,the gynecologic oncology group（n = 22）, department of gynaecology non tumor group（n = 20）. No significant differences between the 4 groups of patients with baseline data, comparable （P 〉 0.05）. Using Japanese SYSMEX-XE2100 automatic blood cell analyzer, the content of Hb compared 4 groups of patients with red blood ceils transfusion before and after the infusion of 24 h. Results 4 groups of patients with red blood cells transfusion of Hb content in 24 h than before infusion increased significantly, the differences were statistically significant （P 〈 0.01 ）. Among them, the normal pregnancyg roup, and after the infusion of Hb content in 24 h compared with pathologic pregnancy group,the difference was statistically significant（P 〈 0.05）;gynecologic oncology group after the infusion of Hb content is higher than that of 24 h in gynecological non tumor group,the difference was statistically significant （P 〈 0.05）. Conclusion Reasonable timely infusion of red blood cells can rapidly, effectively improve the obstetrics and gynecology hospital patients at the Hb level, has very important clinical application value in the therapy in obstetrics and gynecology.