Application Effect of Thromboela-stogram in Blood Transfusion Treatment of Patients with Gastrointestinal Hemorrhage
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.
Gastrointestinal bleedingBlood transfusionThromboela-stogramCoagulation function
万方数据
维普
