目的 分析胃肠肿瘤围手术期输血中的不良事件发生率及安全性.方法 随机选取我院2014年5月至2016年5月收治的胃肠肿瘤患者80例,依据氧供氧耗原理将这些患者分为POTTS指导组(评分组40例)和卫生部输血指南组(指南组40例)2组,对2组患者的围手术期红细胞悬液输注率和量、异体输血不良事件发生情况及死亡情况、术后引流量、拆线时间、住院时间、输血费用进行统计分析.结果 评分组患者的围手术期红细胞悬液输注率、不良事件发生率分别为55%(22/40)、0,均显著低于指南组88%(35/40)、5%(2/40)(P<0.05),输注量显著少于指南组(P<0.05),术后拆线时间、住院时间均显著短于指南组(P<0.05),输血费用显著低于指南组(P<0.05).结论 胃肠肿瘤围手术期输血中依据POTTS指导输血能够有效降低患者的输血不良事件发生率,具有较高的安全性.%Objective To analyze the incidence of adverse events and safety in perioperative blood transfusion of gastrointestinal tumors.Methods Eighty cases of gastrointestinal cancer patients who were treated in our hospital from May 2014 to May 2016 were randomly selected,these patients were divided into POTTS Steering Group (score group,n=40)and Ministry of Health transfusion guidelines group (Directory group,n=40) based on the principles of oxygen supply-consumption.The perioperative infusion rate of red blood cells and amount,adverse event occurrence and mortality of homologous blood transfusion,postoperative drainage,suture removal time and hospital stay,transfusion costs of the two groups were statistically analyzed.Results The perioperative red blood cells infusion rate,adverse event rate of the score group were 55% (22/40) and 0,were significantly lower than the Directory group 88% (35/40) and 5% (2/40)(P<0.05),the amount of infusion was significantly less (P<0.05),the postoperative suture removal time and hospital stay were significantly shorter (P<0.05),the cost of blood transfusion was significantly lower than that of the Directory group (P<0.05).Conclusion Guiding POTTS transfusion in perioperative blood transfusion of gastrointestinal tumors can effectively reduce patients'' incidence of adverse events,it has higher Safety.
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