常规血液学检验在异位妊娠大出血输血治疗效果监测中的意义

Significance of Routine Hematological Examination in Monitoring Therapeutic Effect of Blood Transfusion for Ectopic Pregnancy Hemorrhage

目的探讨常规血液检验在异位妊娠大出血输血治疗效果检测中的意义。方法选取我院收治86例异位妊娠大出血患者,两组均实施常规血液学检验,回顾性分析患者的临床资料,按照有无不良反应分为试验组和对照组,各组纳入病例43例,试验组无不良反应,对照组有不良反应发生,对比分析两组患者各血常规检测结果以及凝血指标。结果试验组患者血常规指标红细胞计数(4.48±0.67)×1012/L、血红蛋白浓度(89.15±7.45)g/L、血小板计数(136.01±7.85)×109/L以及红细胞比容(0.44±0.05)水平均明显高于对照组的(3.69±0.43)×1012/L、(78.47±8.96)g/L、(103.52±8.89)×109/L、(0.31±0.04),差异有统计学意义(P<0.05);试验组患者凝血指标凝血酶原时间(12.27±2.75)s、凝血酶时间(16.29±2.18)s、纤维蛋白(4.55±0.61)g/L、活化部分凝血活酶时间(28.46±2.12)s均高于对照组的(21.58±2.55)s、(28.95±2.53)s、(2.32±0.68)g/L、(42.01±2.65),差异有统计学意义(P<0.05)。结论将常规血液学检验运用于异位妊娠大出血输血治疗中,可大幅度改善患者的血常规与凝血指标,达到对异位妊娠大出血患者输血治疗效果的有效监测,且能良好监测患者不良反应的发生。

Objective To explore and analyze the significance of routine blood test in detecting the therapeutic effect of blood transfusion for ectopic pregnancy hemorrhage.Methods A total of 86 patients with ectopic pregnancy hemorrhage admitted to our hospital were selected.Routine hematological tests were carried out in both groups.The clinical data of the patients were retrospectively analyzed.The patients were divided into experimental group and control group according to the presence or absence of adverse reactions,43 cases were included in each group.The experimental group had no adverse reactions,while the control group had adverse reactions.The blood routine test results and coagulation indexes of the two groups were compared and analyzed.Results The blood routine index red blood cell count of patients in the experimental group was(4.48±0.67)×1012/L,hemoglobin concentration(89.15±7.45)g/L,platelet count(136.01±7.85)×109/L and hematocrit(0.44±0.05)were significantly higher than those in the control group(3.69±0.43)×1012/L、(78.47±8.96)g/L、(103.52±8.89)×109/L,(0.31±0.04),the difference was statistically significant(P<0.05).The coagulation indexes prothrombin time(12.27±2.75)s,thrombin time(16.29±2.18)s,fibrin(4.55±0.61)g/L and activated partial thromboplastin time(28.46±2.12)s in the experimental group were also higher than those in the control group(21.58±2.55)s,(28.95±2.53)s,(2.32±0.68)g/L,(42.01±2.65),and the difference was statistically significant(P<0.05).Conclusion Routine hematological examination of blood transfusion for ectopic pregnancy hemorrhage can greatly improve the blood routine and blood coagulation index level of patients,achieve effective monitoring of blood transfusion treatment effect for ectopic pregnanc hemorrhage patients,and can well detect the occurrence of adverse reactions of patients.