摘要
目的:分析血栓弹力图(TEG)在消化道出血患者输血治疗中的应用。方法:回顾性选取2022年12月—2023年12月黔西市人民医院收治的90例消化道出血输血治疗患者。根据是否使用TEG将其分为观察组(47例)和对照组(43例)。两组均进行输血治疗,对照组根据血常规和凝血四项指导用血,观察组在对照组基础上联用TEG指导用血。比较两组输血前、输血后24 h凝血四项,相关指标,血制品使用量,满意度。结果:输血后24 h,观察组凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)均短于对照组,纤维蛋白原(FIB)高于对照组,差异有统计学意义(P<0.05)。两组好转率比较,差异无统计学意义(P>0.05);观察组住院时间短于对照组,差异有统计学意义(P<0.05)。观察组血小板和冷沉淀用量多于对照组,血浆和悬浮红细胞用量少于对照组,差异有统计学意义(P<0.05)。观察组总满意度为100.00%,高于对照组的86.05%,差异有统计学意义(P<0.05)。结论:在消化道出血患者行输血治疗过程中辅助使用TEG能够在更短时间内纠正患者的凝血功能问题,缩短治疗进程并改善预后。
Objective:To analyze the application of thromboela-stogram(TEG)in blood transfusion treatment of patients with gastrointestinal hemorrhage.Method:A total of 90 patients with gastrointestinal hemorrhage treated by blood transfusion in Qianxi People's Hospital from December 2022 to December 2023 were retrospectively selected.They were divided into observation group(47 cases)and control group(43 cases)according to whether TEG was used.Both groups were given blood transfusion treatment.The control group was given blood according to blood routine and coagulation function,and the observation group was given blood based on the control group combined with TEG.Four items of blood coagulation before and 24 h after blood transfusion,related indexes,blood product dosage and satisfaction were compared between the two groups.Result:At 24 h after blood transfusion,thrombin time(TT),prothrombin time(PT)and activated partial thromboplastin time(APTT)in observation group were shorter than those in control group,and fibrinogen(FIB)was higher than that in control group,the differences were statistically significant(P<0.05).There was no significant difference in the improvement rate between the two groups(P>0.05).The duration of hospitalization in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The dosage of platelet and cryoprecipitate in the observation group were higher than those in the control group,and the dosage of plasma and suspended red blood cells were less than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction of the observation group was 100.00%,which was higher than 86.05%of the control group,and the difference was statistically significant(P<0.05).Conclusion:The adjuvant use of TEG during blood transfusion therapy in patients with gastrointestinal bleeding can correct the patient's coagulation function in a shorter time,shorten the course of treatment and improve the prognosis.
作者
张富群
ZHANG Fuqun(Qianxi People's Hospital,Qianxi 551500,China)
出处
《中外医学研究》
2024年第19期76-79,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
消化道出血
输血
血栓弹力图
凝血功能
Gastrointestinal bleeding
Blood transfusion
Thromboela-stogram
Coagulation function