不同输血方法对上消化道大出血患者输血情况的影响

The Impact of Different Blood Transfusion Methods on the Transfusion Status of Patients with Upper Gastrointestinal Bleeding

目的:探究不同输血方法对上消化道大出血患者输血情况的影响。方法:选取2018年6月—2022年10月甘肃省武威肿瘤医院收治的90例上消化道大出血患者作为研究对象,按照随机数表法分为对照组和观察组,每组各45例。对照组采用积极输血治疗,观察组采用限制输血治疗。比较两组临床疗效、凝血功能、血液流变学、不良反应情况。结果:治疗后,两组治疗总有效率比较,观察组高于对照组,差异有统计学意义(P<0.05);治疗后,观察组各项凝血功能及血液流变学指标水平改善幅度均优于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率较对照组低,差异有统计学意义(P<0.05)。结论:上消化道大出血患者采用限制输血比采用积极输血效果更佳,可实现快速止血,调节血液流变学,改善凝血功能,降低再出血和不良反应的风险,促进预后恢复。此外,通过限制输血,可以有效减少血液资源的使用。

Objective:To explore the impact of different blood transfusion methods on the transfusion status of patients with upper gastrointestinal bleeding.Method:A total of 90 patients with major upper gastrointestinal hemorrhage admitted to Wuwei Cancer Hospital of Gansu Province from June 2018 to October 2022 were selected as the study objects and divided into control group and observation group according to random number table method,with 45 cases in each group.The control group was treated with active transfusion and the observation group was treated with restricted transfusion.The clinical efficacy,coagulation function,hemorheology and adverse reactions of the two groups were compared.Result:After treatment,the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the improvement of coagulation function and hemorheology indexes in the observation group was better than that in the control group,with statistical significance(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of restricted transfusion is better than that of active transfusion in patients with major upper gastrointestinal hemorrhage,which can achieve rapid hemostasis,regulate hemorheology,improve coagulation function,reduce the risk of rebleeding and adverse reactions,and promote prognosis recovery.In addition,by restricting blood transfusion,the use of blood resources can be effectively reduced.