限制性输血在老年外伤失血患者治疗过程中的作用研究

Study on the effect of restrictive blood transfusion in the treatment of elderly patients with traumatic bleeding loss

目的:分析限制性输血在老年外伤失血患者治疗过程中的作用。方法:2017年1月-2019年3月收治有输血指征的老年外伤失血患者93例,随机分为两组。观察组采用限制性输血方法;对照组采用传统开放性输血方法。比较两组临床效果。结果:观察组新鲜冰冻血浆平均用量、除白细胞(过滤)红细胞平均用量及输血不良反应发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论:限制性输血不影响老年外伤失血患者的治疗,且有利于节约血液制品、降低不良反应发生率。

Objective:To analyze the effect of restrictive blood transfusion in the treatment of elderly patients with traumatic bleeding loss.Methods:From January 2017 to March 2019,93 elderly patients with traumatic bleeding loss who had blood transfusion indication were enrolled,they were randomly divided into two groups.The observation group used restrictive blood transfusion method.The control group used traditional open blood transfusion method.The therapeutic effects between the two groups was compared.Results:The average amount of fresh frozen plasma,the average amount of leucocyte removal(filtration)red blood cells and the incidence of adverse reactions of transfusion in the observation group were significantly lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Restrictive blood transfusion does not affect the treatment of elderly patients with traumatic bleeding loss and it is beneficial to save blood products and reduce the incidence of adverse reactions.