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目的分析输血量对患者住院时间、费用及出院前结局的影响,为推行患者血液管理奠定基础。方法收集本院2016年住院期间进行输血治疗患者数据资料,回顾性分析输血量对住院时间、住院费用及出院前结局的影响。结果不同输血量患者之间的住院总天数、住院费用及扣除术前待床日住院天数(住院天数)差异有统计学意义(P<0.01),总输血量与住院总天数、住院费用、住院天数存在正相关,相关系数分别为0.317、0.497、0.290(P<0.01);与红细胞制剂输注量相比,血浆类制剂输注量与住院总天数、住院费用、住院天数的相关性更强(P<0.05);死亡病例的输血总量显著高于好转出院病例输血总量(P<0.01),其血浆和冷沉淀的输注量也显著高于好转出院病例(P<0.01)。结论输血对住院时间、住院费用及患者结局有影响,血浆类制剂的输注影响更大。
Objective To analyze the influence of blood transfusion on hospitalization time, cost and pre-discharge outcome, so as to lay a foundation for the implementation of blood management in patients. Methods The data of patients who were transfused during hospitalization in 2016 were collected. The effects of transfusion volume on hospitalization, hospitalization costs and pre-discharge outcomes were retrospectively analyzed. Results There were significant differences in the total days of hospitalization, hospitalization costs and the days of hospitalization before hospitalization (days of hospitalization) between patients with different transfusion volumes, the total amount of blood transfusions and total days of hospitalization, hospitalization expenses, hospitalization The correlation coefficients were 0.317,0.497 and 0.290 respectively (P <0.01). Compared with the transfusion rate of erythrocyte, the correlation between the transfusion amount of plasma preparations and total days of hospitalization, hospitalization cost and length of stay was stronger (P <0.05). The total amount of blood transfusion in death cases was significantly higher than that in discharged cases (P <0.01), and the plasma and cryoprecipitate influx rates were also significantly higher than those in discharged cases (P <0.01). Conclusion Blood transfusions have an impact on hospitalization time, hospitalization costs and patient outcomes, with a greater impact of transfusion of plasma agents.