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| Effect of rational use of blood components on the treatment and safety of blood transfusion in patients with upper gastrointestinal bleeding |
| JIAO Dong-mei |
| Blood Bank,Baicheng Hospital,Jilin Province,Baicheng 137000,China |
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Abstract Objective To observe the effect of rational use of blood components on the treatment and safety of blood transfusion in patients with upper gastrointestinal bleeding.Methods A total of 54 patients with upper gastrointestinal bleeding admitted to Baicheng Hospital from October 2018 to October 2020 were selected as the research objects,and they were divided into experimental group(27 cases)and control group(27 cases)using a simple randomization method.The experimental group adopted a planned blood transfusion protocol developed by the department of blood transfusion,and the control group applied for single blood transfusion treatment.The blood routine and coagulation index test results,the success rate of first hemostasis,rebleeding rate,and hospital stay were compared between the two groups.Results One hour before treatment,Comparison of blood routine and coagulation index test results between two group of patients,the differencce was not statistically significant(P>0.05).Three hours after treatment,the levels of hemoglobin(Hb),hematocrit(HCT)and platelet count(PLT)in the test group were higher than those in the control group,and the differences were statistically significant(P<0.05).Three hours after treatment,the prothrombin time(PT)and activated partial thromboplastin time(APTT)of the test group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the first hemostatic success rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the rebleeding rate of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the hospital stay of the experimental group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The rational use of blood components has a positive impact on the blood transfusion treatment of patients with upper gastrointestinal bleeding.It can improve blood routine and coagulation indicators,increase the success rate of first hemostasis,reduce the rate of rebleeding,shorten the length of hospitalization,and improve safety.
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| [1] |
耿雁，王苏建.研究成分血合理使用对上消化道出血患者输血治疗的影响[J].临床检验杂志（电子版），2020，9（3）：258-258.
|
| [3] |
许丽影，王会子，赵巍，等.探讨成分血合理使用对肝硬化合并上消化道出血患者继续出血的影响[J].中国继续医学教育，2016，8（34）：92-93.
|
| [4] |
塔娜，邬果枝.探析成分血合理使用对上消化道出血患者输血治疗效果的影响[J].临床心身疾病杂志，2016，22（z1）：61-62.
|
| [2] |
Avneet，Kaur，Shashi，et al.Blood component therapy in neonates in a neonatal intensive care unit of northern India[J].CEGH，2015，3（1）：S38-S42.
|
| [5] |
石伟.成分血对上消化道出血患者进行输血治疗的疗效及血红蛋白水平影响评价[J].中西医结合心血管病电子杂志，2020，8（18）：51-52.
|
| [6] |
王麦玲.上消化道出血患者输血治疗中成分血的合理使用对治疗效果的影响[J].临床医学研究与实践，2018，3（8）：16-17.
|
| [7] |
汤辉.合理使用成分血在上消化道出血输血治疗中的应用效果[J].临床合理用药杂志，2017，10（30）：155-156.
|
| [8] |
Chowdhury FS，Siddiqui MAE，Islam K，et al.Use of Blood and Blood Components In Dhaka Medical College Hospital[J].Bangl J Bot，2015，26（1）：18.
|
| [9] |
杨斌，王洋，夏克明，等.成分血合理使用对上消化道出血患者输血治疗效果的临床影响评价[J].世界最新医学信息文摘，2018，2（v.18）：31-32.
|
| [10] |
周慧，逄晓燕，黄公昌.上消化道出血患者输血治疗时成分血的合理使用[J].中国农村卫生，2019，11（24）：17.
|
| [11] |
许丽影，王会子，赵巍，等.探讨成分血合理使用对肝硬化合并上消化道出血患者继续出血的影响[J].中国继续医学教育，2016，8（34）：92-93.
|
| [12] |
杨晓红.用成分血对上消化道出血患者进行输血治疗的效果分析[J].当代医药论丛，2018，16（21）：99-100.
|
| [13] |
庄瑞强，黎锐发，吴京兰，等.限制性输血治疗急性上消化道出血的可行性分析[J].吉林医学，2018，39（2）：348-349.
|
| [14] |
张颖.探讨如何合理调控成分血液资源避免血液浪费[J].中国现代医生，2015，53（9）：119-121.
|
| [15] |
王一.探究成分血合理使用对上消化道出血患者输血治疗效果的影响[J].中国农村卫生，2019，11（8）：25.
|
| [16] |
刘书玲.限制输血与积极输血治疗急性上消化道出血的效果分析[J].中国综合临床，2016，32（12）：1089-1091，1092.
|
| [17] |
夏建新，胡文辉，黄蓉.不同成分血输注策略对贫血早产儿调节性T 淋巴细胞及临床预后的影响[J].儿科药学杂志，2017，28（4）：32-35.
|
| [18] |
赵文娜.急性上消化道输血治疗中输血策略的选择及预后分析[J].中国保健营养，2017，27（22）：260.
|
|
|
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