摘要
目的探讨在低体重新生儿贫血治疗中非限制性与限制性输血对疗效的影响效果。方法采用随机数字表法将某院2017年2月-2018年7月住院的98例低体重新生儿贫血患儿分为采取限制性输血治疗的对照组及采取非限制性输血治疗的观察组各49例,对两组临床疗效进行对比。结果输血治疗前两组低体重贫血新生儿心率、呼吸频率、红细胞计数、血红蛋白分别为(166.00±2.00)次/分、(66.00±2.00)次/分、(5.25±0.30)×12/L、(75.01±1.28)g/L和(165.50±1.50)次/分、(66.50±2.50)次/分、(5.21±0.28)×12/L、(74.87±1.26)g/L,组间无明显统计学差异,输血治疗后观察组心率(147.50±1.50)次/分、呼吸频率(48.50±1.50)次/分,低于对照组(150.00±2.00)次/分、(52.00±1.00)次/分,红细胞计数(6.40±0. 25)××12/L、血红蛋白(142.30±1.40)g/L,高于对照组(5.85±0.20)×12/L、(137.45±1.35)g/L,差异有统计学意义(P<0.05);观察组吸氧时间(14.50±1.50)天、机械通气时间(8.25±1.05)天短于对照组(18.65±1.35)天、(10.30±1.10)天,并发症发生率6.12%,低于对照组16.33%,差异有统计学意义(P<0.05),住院时间分别为(38.00±2.00)天和(38.50±1.50)天,差异无统计学意义(P>0.05)。结论在低体重新生儿贫血治疗中采取非限制性输血取得的临床疗效总体上优于限制性输血,可将其作为优选输血治疗方案加以推广使用。
Objective To investigate the effect of unrestricted and restricted blood transfusion on the curative effect in the treatment of low birth anemia.Methods 98 children with low birth anemia hospitalized in a hospital from February 2017 to July 2018 were divided into two groups:the control group(n=49)treated with restricted blood transfusion and the observation group(n=49)treated with unrestricted blood transfusion.The clinical efficacy of the two groups was compared.Results The heart rate,respiratory rate,red blood cell count and hemoglobin of the two groups of low-weight anemia pre-transfusion were(166.00±2.00)beats/min,(66.00±2.00)beats/min,(5.25±0.30)×1012/L,respectively.(75.01±1.28)g/L and(165.50±1.50)beats/min,(66.50±2.50)beats/min,(5.21±0.28)×12/L,(74.87±1.26)g/L,no significant between groups Statistical difference,heart rate(147.50±1.50)beats/min,respiratory rate(48.50±1.50)beats/min after blood transfusion treatment,lower than control group(150.00±2.00)beats/min,(52.00±1.00)beats/min,red blood cell count(6.40±0.25)×12/L,hemoglobin(142.30±1.40)g/L,higher than the control group(5.85±0.20)×1012/L,(137.45±1.35)g/L,the difference is statistical Learning significance(P<0.05);observation group oxygen inhalation time(14.50±1.50)d,mechanical ventilation time(8.25±1.05)d shorter than control group(18.65±1.35)d,(10.30±1.10)d,complications occurred The rate was 6.12%,which was lower than the control group(16.33%)The difference was statistically significant(P<0.05).The hospitalization time was(38.00±2.00)d and(38.50±1.50)d,respectively.There was no significant different(P>0.05).Conclusion The clinical effect of non-restrictive blood transfusion is better than that of restrictive blood transfusion in the treatment of anemia in low birth weight neonates.It can be used as an optimal blood transfusion therapy.
作者
肖卿玉
吴海军
成珍
刘良田
Xiao Qingyu;Wu Haijun;Cheng Zhen;Liu Liangtian(Department of Blood Transfusion,Shiyan People's Hospital of Baoan District,Shenzhen 518108,Guangdong Province,China)
出处
《中国病案》
2019年第8期107-109,共3页
Chinese Medical Record
关键词
低体重新生儿贫血
限制性输血
非限制性输血
疗效
Anemia of low birth weight neonates
Restrictive blood transfusion
Non-restrictive blood transfusion
Curative effect