血漿過敏原篩查在預(yù)防輸血過敏反應(yīng)中的應(yīng)用研究
發(fā)布時(shí)間:2018-05-23 23:01
本文選題:血漿過敏原篩查 + 預(yù)防輸血過敏反應(yīng); 參考:《中國輸血雜志》2016年02期
【摘要】:目的研究血漿過敏原篩查在預(yù)防輸血過敏反應(yīng)中的臨床應(yīng)用。方法回顧性分析住院輸血患者病例資料和患者血漿過敏原篩查報(bào)告,按過敏原陽性項(xiàng)目數(shù),將輸血患者分為低敏體質(zhì)組(Ⅰ組:患者血漿過敏原篩查結(jié)果≤3項(xiàng)陽性)和易敏體質(zhì)組(Ⅱ組:患者血漿過敏原篩查結(jié)果≥5項(xiàng)陽性),選擇Ⅱ組中26例反復(fù)輸血過敏的血液科患者,在后續(xù)住院期間輸血前采取藥物預(yù)防措施。結(jié)果易敏體質(zhì)患者(Ⅱ組)供輸血108次,出現(xiàn)過敏反應(yīng)71次,發(fā)生率為65.7%(71/108),低敏體質(zhì)組(I組)的患者供輸血513次,出現(xiàn)過敏反應(yīng)17次,過敏反應(yīng)發(fā)生率為3.3%(17/513);26例反復(fù)輸血過敏血液病患者輸血82次,過敏反應(yīng)56次,過敏發(fā)生率68.3%,這些患者在后續(xù)住院期間,輸血前實(shí)施藥物預(yù)防過敏措施后輸血71次,過敏反應(yīng)1次,過敏發(fā)生率1.4%(P0.01)。結(jié)論輸血患者在輸注血漿制品前進(jìn)行血漿過敏原篩查,依據(jù)篩查的結(jié)果對(duì)易敏體質(zhì)患者進(jìn)行輸血過敏藥物預(yù)防,可有效降低輸血過敏反應(yīng)的發(fā)生率。
[Abstract]:Objective to study the clinical application of plasma allergen screening in the prevention of blood transfusion allergic reaction. Methods the data of inpatients with blood transfusion and the report of plasma allergen screening were analyzed retrospectively according to the number of allergen positive items. Blood transfusion patients were divided into two groups: hypersensitive constitution group (group 鈪,
本文編號(hào):1926730
本文鏈接:http://sikaile.net/huliyixuelunwen/1926730.html
最近更新
教材專著