河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
2期
317-320
,共4页
老年肿瘤%输%血%去白细胞悬浮红细胞%悬浮红细胞
老年腫瘤%輸%血%去白細胞懸浮紅細胞%懸浮紅細胞
노년종류%수%혈%거백세포현부홍세포%현부홍세포
Geriatric oncology%Blood transfusion%Leukocyte - depleted suspension of red blood cells%Concentrated red cell suspension
目的：：评价去白细胞成分输血在老年肿瘤患者输血治疗的效果。方法：128例输注去白细胞悬浮红细胞老年肿瘤患者设为去白组,59例输注悬浮红细胞老年肿瘤患者设为悬红组,并以同期32例未输血老年肿瘤患者为对照组,比较三组治疗效果。结果：去白组输血反应发生率5.47%,悬红组为16.95%,差异有统计学意义(P<0.05),去白组输血反应发生率较低；三组术后感染情况：去白组感染率9.4%,悬红组感染率33.9%,对照组感染率21.9%,差异有统计学意义( P<0.05),平均术后伤口愈合时间去白组与对照组差异无统计学意义( P>0.05),两组与悬红组比较差异,均有统计学意义( P<0.05),平均术后伤口愈合时间悬红组较长。结论：在老年肿瘤患者中去白细胞成分输血对减少输血反应、术后感染,增强患者体质耐受,提高输血疗效均有显著疗效,值得在临床推广应用。
目的：：評價去白細胞成分輸血在老年腫瘤患者輸血治療的效果。方法：128例輸註去白細胞懸浮紅細胞老年腫瘤患者設為去白組,59例輸註懸浮紅細胞老年腫瘤患者設為懸紅組,併以同期32例未輸血老年腫瘤患者為對照組,比較三組治療效果。結果：去白組輸血反應髮生率5.47%,懸紅組為16.95%,差異有統計學意義(P<0.05),去白組輸血反應髮生率較低；三組術後感染情況：去白組感染率9.4%,懸紅組感染率33.9%,對照組感染率21.9%,差異有統計學意義( P<0.05),平均術後傷口愈閤時間去白組與對照組差異無統計學意義( P>0.05),兩組與懸紅組比較差異,均有統計學意義( P<0.05),平均術後傷口愈閤時間懸紅組較長。結論：在老年腫瘤患者中去白細胞成分輸血對減少輸血反應、術後感染,增彊患者體質耐受,提高輸血療效均有顯著療效,值得在臨床推廣應用。
목적：：평개거백세포성분수혈재노년종류환자수혈치료적효과。방법：128례수주거백세포현부홍세포노년종류환자설위거백조,59례수주현부홍세포노년종류환자설위현홍조,병이동기32례미수혈노년종류환자위대조조,비교삼조치료효과。결과：거백조수혈반응발생솔5.47%,현홍조위16.95%,차이유통계학의의(P<0.05),거백조수혈반응발생솔교저；삼조술후감염정황：거백조감염솔9.4%,현홍조감염솔33.9%,대조조감염솔21.9%,차이유통계학의의( P<0.05),평균술후상구유합시간거백조여대조조차이무통계학의의( P>0.05),량조여현홍조비교차이,균유통계학의의( P<0.05),평균술후상구유합시간현홍조교장。결론：재노년종류환자중거백세포성분수혈대감소수혈반응、술후감염,증강환자체질내수,제고수혈료효균유현저료효,치득재림상추엄응용。
Objective:To evaluate the removal of leukocytes component transfusion in elderly patients with transfusion therapy cancer treatment. Method: 128 cases of elderly cancer patients with transfusion of leukocyte-depleted blood was set to leukocyte-depleted group, 59 cases of transfusion of packed red blood cell suspension was concentrated in elderly patients with cancer set red group, and 32 cases of elderly pa-tients with cancer as the control group blood transfusion, comparison of three treatment groups. Result:The incidence of transfusion reactions in leukocyte-depleted group was 5.47%, concentrated red group was 16. 95%, the difference was statistically significant ( P <0.05) , lower leukocyte transfusion reaction rate group;three postoperative infection:Infection leukocyte group rate of 9.4 percent, concentrated red group infection rate of 33.9%, 21.9% infection rate in the control group, the difference was statistically significant ( P <0. 05) , the average time to wound healing leukocyte group and control group showed no significant difference ( P> 0.05) , and concentrated red group differences were statistically significant ( P <0.05) , mean postoper-ative wound healing time is longer concentrated red group. Conclusion: leukocyte-depleted blood transfu-sions to reduce transfusion reactions, postoperative infection, enhance physical well tolerated in patients and improve the efficacy of blood transfusions have a significant effect, it is worth the clinical application.
