限制性输血治疗在重度烧伤非休克期患者中的应用

Application of Restrictive Transfusion Therapy in Patients with Severe Burn in Non-Shock Period

目的探讨限制性输血治疗在重度烧伤非休克期患者中的应用效果。方法选取2020年1月至2021年12月我院收治的100例重度烧伤非休克期患者,按照入组顺序分为两组。对照组采用开放性输血治疗,观察组采用限制性输血治疗。比较两组的输血量、输血效果及安全性。结果观察组的RBC用量、血浆用量及输血总量均少于对照组(P<0.05)。观察组的△RBC、△Hb均高于对照组(P<0.05)。两组的输血不良反应发生率比较,差异无统计学意义(P>0.05)。结论与开放性输血相比,限制性输血治疗重度烧伤非休克期患者的效果更好,可减少血液制品用量,且安全性高。

Objective To explore the application effect of restrictive transfusion therapy in patients with severe burn in non-shock period.Methods 100 patients with severe burn in non-shock period admitted to our hospital from January 2020 to December 2021 were selected and divided into two groups according to the order of enrollment.The control group was treated with open blood transfusion,and the observation group was treated with restrictive blood transfusion.The blood transfusion volume,blood transfusion effect and safety were compared between the two groups.Results The RBC use amount,plasma use amount and total blood transfusion amount of the observation group were less than those of the control group(P<0.05).The△RBC and△Hb of the observation group were higher than those of the control group(P<0.05).No significant difference was found in the incidence of adverse transfusion reactions between the two groups(P>0.05).Conclusions Compared with open blood transfusion,restrictive blood transfusion is more effective in the treatment of severe burn patients in non-shock period,which can reduce the use amount of blood products and has high safety.