术中限制性输血与开放性输血的临床对比研究

Clinical comparative study of restrictive transfusion and openness transfusion during operation

目的:分析研究手术当中限制性输血与开放性输血的临床应用价值。方法:2009年11月-2013年2月收治需要手术输血患者186例,随机分为试验组、对照组,对照组采取开放性输血措施,试验组采取限制性输血措施,在试验组和对照组整个治疗期间,采取血气分析仪对所有患者Hb(血红蛋白)含量和Hct(血细胞比容)给予分析研究。结果:试验组输血量以及输血不良反应明显要比对照组少(P<0.05);试验组麻醉时间、手术时间、麻醉苏醒时间以及手术以后拆线时间与对照组比较,差异不具有统计学意义(P>0.05)。结论:对于需要手术输血的患者,采取限制性输血方式可以使血资源明显节约,并且不良反应较少,具有临床推广价值。

Objective:To analyze and study the clinical application value of restrictive transfusion and openness transfusion during operation.Methods:186 patients with needing operation transfusion were selected from November 2009 to February 2013.They were randomly divided into the experimental group and the control group.The control group was given openness transfusion measure.The experimental group was given restrictive transfusion measure.Throughout the treatment period of the experimental group and the control group,the Hb(hemoglobin) content and Hct(hematocrit) of all patients were analyzed and studied by blood gas analyzer.Results:The amount of blood transfusion and transfusion reactions of the experimental group were significantly lower than those of the control group(P<0.05).The anesthesia time,operation time,anesthesia recovery time and postoperative taking out stitches time of the experimental group were compared with those of the control group,and the difference was not statistically significant(P>0.05).Conclusion:For the patients with needing operation transfusion,using restrictive transfusion way can make clear blood resources saving,and has fewer adverse reactions.It has clinical popularization value.