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目的探讨不同输血方法在自身免疫性溶血性贫血患者中的临床疗效。方法将我院收治的40例自身免疫性溶血性贫血患者采用不同输血方法将其分成观察组(n=20例)与对照组(n=20例),采用去红细胞悬液输血方法给予对照组患者进行输血,采用三洗红细胞输血方式联合血液置换治疗方式给予观察组患者进行输血,对比两组患者的不良反应发生情况和输血有效率。结果观察组20例患者中总有效率为97.78%,总有效次97.78%;对照组20例患者中总有效率为71.11%,总有效次数66.67%;两组的总有效率比较差异显著,有统计学意义,P<0.05。观察组20例患者中不良反应发生率为5%,对照组20例患者中不良反应发生率为10%,两组的不良反应发生率比较差异不明显,不具有统计学意义,P>0.05。结论采用三洗红细胞输血方式联合血液置换治疗方式对自身免疫性溶血性贫血患者进行治疗,具有较好的临床效果。
Objective To investigate the clinical efficacy of different transfusion methods in patients with autoimmune hemolytic anemia. Methods Forty patients with autoimmune hemolytic anemia admitted in our hospital were divided into observation group (n = 20) and control group (n = 20) by transfusion method. The control group was administered by transfusion of erythrocyte suspension The patients were transfused. Blood was transfused by three wash-blood transfusion combined with blood replacement therapy in the observation group. The incidence of adverse reactions and the transfusion efficiency were compared between the two groups. Results The total effective rate was 97.78% and the total effective rate was 97.78% in the 20 patients in the observation group. The total effective rate was 71.11% and the total effective frequency was 66.67% in the 20 patients in the control group. The total effective rate was significantly different between the two groups Statistical significance, P <0.05. The incidence of adverse reactions was 5% in 20 patients in the observation group and 10% in 20 patients in the control group. There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusions Triple therapy of blood transfusion combined with blood replacement therapy for patients with autoimmune hemolytic anemia has good clinical effect.