CAJ | 학술논문

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。
목적：분석불동수혈지정대중증감호예후적영향。방법：수치중증감호환자1500례，근거불동수혈지정분위량조，각750례，Hb＜100 g/L개방성수혈자위대조조，Hb＜70 g/L한제성수혈자위연구조，비교량조예후전귀정황。결과：연구조 MODS 평분적(16.23±4.96)분여주원기간 Hb 함량(8.03±0.62)mg/L 균현저저우대조조적(22.38±6.24)분、(10.85±0.74)mg/L，차중증감염발생솔、심력쇠갈발생솔、≤55세자사망솔、쇠갈기관수량、폐수종발생솔균저우대조조(P＜0.05)。결론：림상치료중증감호환자시，당환자Hb강도70 g/L시수입홍세포，차장혈홍단백적농도공제재70～90 g/L，대환자예후구유적겁영향。
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.