中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
14期
2096-2097
,共2页
红细胞输注%婴儿,早产%预后
紅細胞輸註%嬰兒,早產%預後
홍세포수주%영인,조산%예후
Erythrocyte transfusion%Infant,premature%Prognosis
目的 研究不同输血对策对早产儿临床预后的影响.方法 接受输血的早产儿共100例,分为限制性输血组与非限制性输血组,观察临床结局情况.结果 限制性输血组患儿输血前红细胞比容(Hct)为(27.97±4.86)％,明显低于非限制性输血组患儿输血前的Hct(34.51±6.34)％(t =3.78,P＜0.05)；两组患儿每次输血量、每人输血总量、输血次数,差异无统计学意义(t=0.59、0.37、0.68,均P＞0.05).非限制性输血组有创呼吸机使用(5.73±4.95)d,明显少于限制性输血组(7.61 ±5.72)d(t =2.36,P＜0.05)；两组患儿其余临床结局情况,差异均无统计学意义(P＞0.05).结论 非限制性输血可使有创呼吸机使用时间减少,可能更利于早产儿临床恢复,临床上不要一味采取保守的限制性输血对策.
目的 研究不同輸血對策對早產兒臨床預後的影響.方法 接受輸血的早產兒共100例,分為限製性輸血組與非限製性輸血組,觀察臨床結跼情況.結果 限製性輸血組患兒輸血前紅細胞比容(Hct)為(27.97±4.86)％,明顯低于非限製性輸血組患兒輸血前的Hct(34.51±6.34)％(t =3.78,P＜0.05)；兩組患兒每次輸血量、每人輸血總量、輸血次數,差異無統計學意義(t=0.59、0.37、0.68,均P＞0.05).非限製性輸血組有創呼吸機使用(5.73±4.95)d,明顯少于限製性輸血組(7.61 ±5.72)d(t =2.36,P＜0.05)；兩組患兒其餘臨床結跼情況,差異均無統計學意義(P＞0.05).結論 非限製性輸血可使有創呼吸機使用時間減少,可能更利于早產兒臨床恢複,臨床上不要一味採取保守的限製性輸血對策.
목적 연구불동수혈대책대조산인림상예후적영향.방법 접수수혈적조산인공100례,분위한제성수혈조여비한제성수혈조,관찰림상결국정황.결과 한제성수혈조환인수혈전홍세포비용(Hct)위(27.97±4.86)％,명현저우비한제성수혈조환인수혈전적Hct(34.51±6.34)％(t =3.78,P＜0.05)；량조환인매차수혈량、매인수혈총량、수혈차수,차이무통계학의의(t=0.59、0.37、0.68,균P＞0.05).비한제성수혈조유창호흡궤사용(5.73±4.95)d,명현소우한제성수혈조(7.61 ±5.72)d(t =2.36,P＜0.05)；량조환인기여림상결국정황,차이균무통계학의의(P＞0.05).결론 비한제성수혈가사유창호흡궤사용시간감소,가능경리우조산인림상회복,림상상불요일미채취보수적한제성수혈대책.
Objective To study the effect of different transfusion measures on the clinical outcome in preterm infants.Methods 100 cases of blood transfusion in preterm infants were chosen.They were divided into restrictive transfusion group and non-restrictive transfusion group.The clinical outcomes of infants were recorded.Results The Hct of children with restrictive transfusion group pre-transfusion was(27.97±4.86) ％,which was significantly lower than pre-transfusion Hct of non-restrictive transfusion group(34.51±6.34) ％.The difference was statistically significant(t =3.78,P ＜ 0.05).The differences of each transfusion value,each blood transfusion and transfusion times for the two groups of infants were not statistically significant(t =0.59,0.37,0.68,all P ＞ 0.05).The invasive ventilator of the non-restrictive transfusion group was(5.73±4.95)d,significantly less than the restrictive transfusion group(7.61±5.72) d.The difference was statistically significant(t =2.36,P ＜ 0.05).The differences for the rest of the clinical outcomes for the two groups of infants were not statistically significant(P ＞ 0.05).Conclusion The reducing of non-restrictive transfusion invasive ventilator time may be more conducive to clinical recovery in preterm infants.The clinical should not blindly adopt conservative restrictive transfusion countermeasures.
