CAJ | 학술논문

目的：分析研究手术当中限制性输血与开放性输血的临床应用价值。方法：2009年11月-2013年2月收治需要手术输血患者186例，随机分为试验组、对照组，对照组采取开放性输血措施，试验组采取限制性输血措施，在试验组和对照组整个治疗期间，采取血气分析仪对所有患者 Hb(血红蛋白)含量和 Hct(血细胞比容)给予分析研究。结果：试验组输血量以及输血不良反应明显要比对照组少(P＜0.05)；试验组麻醉时间、手术时间、麻醉苏醒时间以及手术以后拆线时间与对照组比较，差异不具有统计学意义(P＞0.05)。结论：对于需要手术输血的患者，采取限制性输血方式可以使血资源明显节约，并且不良反应较少，具有临床推广价值。
목적：분석연구수술당중한제성수혈여개방성수혈적림상응용개치。방법：2009년11월-2013년2월수치수요수술수혈환자186례，수궤분위시험조、대조조，대조조채취개방성수혈조시，시험조채취한제성수혈조시，재시험조화대조조정개치료기간，채취혈기분석의대소유환자 Hb(혈홍단백)함량화 Hct(혈세포비용)급여분석연구。결과：시험조수혈량이급수혈불량반응명현요비대조조소(P＜0.05)；시험조마취시간、수술시간、마취소성시간이급수술이후탁선시간여대조조비교，차이불구유통계학의의(P＞0.05)。결론：대우수요수술수혈적환자，채취한제성수혈방식가이사혈자원명현절약，병차불량반응교소，구유림상추엄개치。
Objective:To analyze and study the clinical application value of restrictive transfusion and openness transfusion during operation.Methods:186 patients with needing operation transfusion were selected from November 2009 to February 2013. They were randomly divided into the experimental group and the control group.The control group was given openness transfusion measure.The experimental group was given restrictive transfusion measure.Throughout the treatment period of the experimental group and the control group,the Hb(hemoglobin) content and Hct(hematocrit) of all patients were analyzed and studied by blood gas analyzer.Results:The amount of blood transfusion and transfusion reactions of the experimental group were significantly lower than those of the control group(P<0.05).The anesthesia time,operation time,anesthesia recovery time and postoperative taking out stitches time of the experimental group were compared with those of the control group,and the difference was not statistically significant(P>0.05).Conclusion:For the patients with needing operation transfusion,using restrictive transfusion way can make clear blood resources saving,and has fewer adverse reactions.It has clinical popularization value.