334例输血肺结核患者临床用血情况分析

Analysis on the clinical use of blood in 334 patients with tuberculosis transfusion

目的分析输血肺结核患者临床用血特点,为临床肺结核治疗用血策略提供参考依据。方法回顾性分析2018年4月—2022年4月期间解放军总医院第八医学中心334例输血肺结核患者输注血液成分品种、数量等情况,按照性别、年龄以及输注悬浮红细胞量分别进行分组比较,对血液成分的使用情况、影响输血的因素和特点进行分析。结果334例输血肺结核患者中,男性占72.46%,女性占27.54%;各年龄段分布比例由高到低依次为中年组47.91%、老年组27.54%、青年组23.95%、青少年组0.60%。大量输血组住院时间长的患者比例(65.38%)>非大量输血组(42.21%),病死率(42.31%)高于非大量输血组(19.16%)(P均<0.05)。输血肺结核患者输注各种血液成分比例由高到低依次为红细胞(48.40%)、血浆(27.60%)、血小板(23.99%)。输血肺结核患者血小板输注比例(23.99%)>同期我院输血患者血小板输注比例(8.99%)(P<0.05)。结论应加强对肺结核患者贫血情况、血小板水平的监测,科学合理使用血液成分,提高输血疗效,改善患者预后。

Objective The objective of this study is to examine the attributes of blood employed in the management of patients with pulmonary tuberculosis,with the aim of furnishing guidance for the formulation of an effective blood utilization approach for the treatment of pulmonary tuberculosis.Method A retrospective analysis was conducted on the transfusion of blood components in 334 patients diagnosed with pulmonary tuberculosis at the Eighth Medical Center of the General Hospital of the People’s Liberation Army between April 2018 and April 2022,factors affecting blood transfusion and characteristics were respectively compared according to gender,age and the volume of suspended red blood cells administered.Results Among the 334 patients with transfusion tuberculosis,72.46%were males and 27.54%were females.The proportion in each age group was 47.91%in the middle age group,27.54%in the older age group,23.95%in the younger age group,and 0.60%in the younger age group.The proportion of long hospital stays in the mass transfusion group(65.38%)was higher than that in the non-mass transfusion group(42.21%),and the mortality rate(42.31%)was higher than that in the non-mass transfusion group(19.16%)(P<0.05).The proportion of various blood components transfused in patients with tuberculosis was red blood cells(48.40%),plasma(27.60%),and platelets(23.99%)in descending order.The proportion of platelet transfusion in pulmonary tuberculosis patients(23.99%)was higher than that in our hospital(8.99%)during the same period(P<0.05).Conclusion We should strengthen the monitoring of anemia and platelet level in patients with tuberculosis,use blood components scientifically and rationally,improve the efficacy of blood transfusion,and improve the prognosis of patients.