某院骨科患者红细胞输注的回顾性分析

Retrospective Analysis of Red Blood Cell Transfusion in Orthopedic Patients

目的回顾性分析某院骨科患者红细胞输注情况，以指导临床合理用血。方法回顾性选择某三甲医院2013～2014年骨科有红细胞输注的病案98例，将血红蛋白Hb〈70g／L开始输血的41例设为限制性输血组，Hb〈100g／L开始输血的57例设为开放性输血组，分析红细胞输注情况。结果限制性输血组输血前Hb低于开放性输血组，差异有统计学意义（P〈0．01），输血后Hb改变值优于开放性输血组，失血量、输血量和住院时长的差异无统计学意义。结论骨科患者红细胞输注可以应用限制性输血策略。

Objective To guide the clinical rational use of blood by retrospective analysis of red blood cell transfusion in orthopedic patients. Methods Random checked 98 medical documents with transfusion record in a third- grade class-A hospital from 2013 to 2014. Restrictive transfusion group was adopted in 41 patients whose concentration of hemoglobin （Hb） was less than 70 g/L before transfusion. Liberal transfusion group was adopted in 57 patients whose Hb was less than 100 g/L. The outcomes were compared afterwards. Results Asignificant differences was seen between the two groups with respect to the initial Hb （P 〈0.01）. No significant difference was observed in the volume of blood transfused,the blood lost,and the length of hospital stay. Conclusion Restrictive transfusion strategy could be advocated in orthopedic patients .