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目的了解新生儿输血的一般情况,为更好指导新生儿输血治疗提供参考依据。方法对2007年1月1日—2009年12月31日在本院新生儿病区治疗的11 811名新生儿的胎龄、体重、疾病分布,以及输血成分、输血量做回顾性调查,应用Excel 2003录入数据,SPSS 13.0统计软件统计分析。结果新生儿输血率为25.45%(3006/11 811),其中早产儿输血率为38.68%(1 763/4 558)。在输血新生儿中,1)男性患儿居多,占57.55%(1 730/3 006),其中早产儿占61.02%(1 763/2 889)、足月儿占37.94%(1 096/2 889)、过期儿占1.04%(30/2 889);低出生体重儿占56.57%(1 663/2 940),超低出生体重儿14.63%(430/2 940);2)平均输血次数(2.35±2.3)次/人、平均输血量(117.36±146.08)ml/人;输血次数、输血量与胎龄呈负相关(r值分别为-0.296和-0.242),与体重呈正相关(r为0.266和0.256),输血次数与住院天数呈正相关(r=0.352);输注悬浮红细胞、血浆、血小板的比例分别为64.2%、29.7%、6.1%;3)新生儿肺炎患儿最多,占59.61%(1 792/3 006),其次为新生儿贫血19.89%(598/3006)、新生儿呼吸窘迫19.13%(575/3 006)。结论新生儿输血次数和输血量随新生儿胎龄增加而减少,随体重的增加而增多;悬浮红细胞输注随新生儿胎龄和体重的增加而减少,血浆输注却呈增多趋势。
Objective To understand the general situation of neonatal transfusion and provide a reference for better guiding neonatal transfusion therapy. Methods The gestational age, weight, disease distribution, blood transfusion and transfusion volume of 11 811 newborns treated in our hospital from January 1, 2007 to December 31, 2009 were retrospectively studied. Excel 2003 input data, SPSS 13.0 statistical software statistical analysis. Results The neonatal transfusion rate was 25.45% (3006/11 811). The blood transfusion rate in preterm infants was 38.68% (1 763/4 558). Among the transfusion newborns, 1) the majority of male patients accounted for 57.55% (1 730/3 006), of whom 61.02% (1 763/2 889) were premature infants and 37.94% were full-term infants (1096/2 889) ), Overdue children accounted for 1.04% (30/2 889); low birth weight accounted for 56.57% (6643/2 940), ultra-low birth weight children 14.63% (430/2 940); 2) the average number of transfusions (2.35 ± 2.3) times / person, mean blood transfusion (117.36 ± 146.08) ml / person; the number of blood transfusions and blood transfusion were negatively correlated with gestational age (r = -0.296 and -0.242, respectively) And 0.256 respectively). The number of transfusions was positively correlated with hospitalization days (r = 0.352). The percentage of suspended erythrocytes, plasma and platelet transfusion were 64.2%, 29.7% and 6.1% respectively. 3) (1 792/3 006), followed by neonates with anemia of 19.89% (598/3006) and neonatal respiratory distress of 19.13% (575/3 006). Conclusions The number of transfusions and blood transfusion in neonates decreased with the increase of gestational age and increased with the increase of body weights. The transfusion of suspended erythrocytes decreased with the increase of gestational age and body weight of neonates, while the plasma transfusion increased.