分析不同输血指征对重症监护患者预后的影响

Analysis of the influence of different blood transfusion indications on the prognosis of intensive care patients

目的:分析不同输血指征对重症监护预后的影响。方法:收治重症监护患者1500例,根据不同输血指征分为两组,各750例,Hb<100 g/L开放性输血者为对照组,Hb<70 g/L限制性输血者为研究组,比较两组预后转归情况。结果:研究组MODS评分的(16.23±4.96)分与住院期间Hb含量(8.03±0.62)mg/L均显著低于对照组的(22.38±6.24)分、(10.85±0.74)mg/L,且重症感染发生率、心力衰竭发生率、≤55岁者死亡率、衰竭器官数量、肺水肿发生率均低于对照组(P<0.05)。结论:临床治疗重症监护患者时,当患者Hb降到70 g/L时输入红细胞,且将血红蛋白的浓度控制在70~90 g/L,对患者预后具有积极影响。

Objective:To analyze the influence of different blood transfusion indications on the prognosis of intensive care patients. Methods:1500 patients with critical care were selected,according to different indications for transfusion of blood,they were divided into two groups with 750 patients in each,patients with Hb below 100 g/L and open blood transfusion were as the control group, patients with Hb below 70 g/L and restrictive transfusion were as the study group,we compared the prognosis and outcome of the two groups.Results:In the study group,the MODS score was (16.23 ± 4.96),the Hb content during hospitalization period was (8.03±0.62)mg/L,which were significantly lower than those in the control group of (22.38±6.24) and (10.85±0.74)mg/L,and the severe infection rate,the incidence of heart failure,the mortality of less than or equal to 55 years of age,the number of organ failure and incidence of pulmonary edema were lower than the control group(P<0.05).Conclusion:In the clinical treatment of intensive care patients,red blood cells were entered when the Hb of patient was reduced to 70g/L,and the concentration of hemoglobin was in 70 to 90 g/L,these had a positive effect on the prognosis of patients.