不同输血指征对重症监护患者预后的影响

Effects of Different Indications for Transfusion on the Prognosis of Patients in Intensive Care

目的探究重症监护患者应用不同输血指征对其预后的影响。方法回顾性分析2014年5月至2015年5月本院收治的110例重症监护患者临床资料,按不同输血指征分为两组(各55例),对照组行开放性输血指征,观察组行限制性输血指征,观察并比较两组对患者预后的影响。结果观察组心力衰竭、重症感染与肺水肿发生率均显著低于对照组,差异均有统计学意义(P<0.05);观察组MODS评分(15.12±3.80)分比对照组(24.36±6.56)分低,且两组衰竭器官数量比较差异均有统计学意义(P<0.05)。结论重症监护患者应用限制性输血指征的效果显著,可降低心力衰竭、重症感染与肺水肿的发生率,减少衰竭器官数量和功能障碍。

Objective To explore ICU patients prognosis of different indications for its transfusion. Methods A retrospective analysis of May 2014 - May 2015 our hospital intensive care clinical data 110 patients divided into two groups according to different indications for transfusion （55 cases each）, the control group underwent open transfusion indications, the observation group line restrictive transfusion indications, the two groups were observed and compared the impact on prognosis. Results Observation group heart failure, severe infection and pulmonary edema were significantly lower than the control group, the difference was statistically significant （P〈0.05）; observation group MODS score （15.12±3.80） than the control group points （24.36±6.56） points low, and the number of organ failure groups were statistically significant differences （P〈0.05）. Conclusion ICU patients with restrictive transfusion indications of the effect is significant, it can reduce the incidence of heart failure, severe infection and pulmonary edema, reduce the number of organ failure and dysfunction.