血白蛋白用于外科手术后低蛋白血症的临床效益研究
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摘要
目的探究血白蛋白用于外科手术后低蛋白血症的临床效益。方法将2016年12月—2017年12月在该院接受外科手术后发生低蛋白血症的90例患者作为研究对象,并将其随机分至两组,观察组患者在常规治疗的基础上,再采用血白蛋白进行治疗,对照组患者仅采用常规方法进行治疗。治疗结束后,对两组患者的血清白蛋白含量改善情况及治疗效果进行调查。结果治疗结束后,观察组中,血白蛋白含量≥35 g/L的患者达到14例,占总体31.11%,对照组中,血白蛋白含量≥35 g/L的患者仅5例,占总体的11.11%。在两组患者治疗效果情况方面,观察组的治疗显效率和总有效率分别达到62.22%和88.89%,对照组的治疗显效率和总有效率分别为33.33%和71.11%。差异有统计学意义(χ~2=11.25、5.56,P<0.05)。结论将血白蛋白应用于外科手术后低蛋白血症患者的临床治疗当中,有效提高患者血清白蛋白含量,患者症状明显减轻,效果明显,值得推广。
Objective To study the clinical effect of blood albumin in the hypoproteinemia after the surgical surgery.Methods 90 cases of patients with hypoproteinemia after the surgical surgery in our hospital from December 2016 to December 2017 were selected and randomly divided into two groups,research group used the blood albumin for treatment on the basis of the routine therapy,while the control group used the routine method,at the end of treatment,the improvement of constant of serum albumin and treatment effect were investigated.Results At the end of treatment,there were 14 cases whose blood albumin ≥35 g/L,accounting for 31.11%,in the control group,only 5 cases,accounting for 11.11%,and the markedly effective rate and total effective rate in the research group and in the control group were respectively 62.22%,88.89% and 33.33%,71.11%,and the differences were statistically significant(χ~2=11.25,5.56,P<0.05).Conclusion The application of blood albumin in the hypoproteinemia after the surgical surgery can effectively improve the serum albumin constant of patients,which can obviously reduce the symptoms and the effect is obvious,and it is worth promotion.
Objective To study the clinical effect of blood albumin in the hypoproteinemia after the surgical surgery.Methods 90 cases of patients with hypoproteinemia after the surgical surgery in our hospital from December 2016 to December 2017 were selected and randomly divided into two groups,research group used the blood albumin for treatment on the basis of the routine therapy,while the control group used the routine method,at the end of treatment,the improvement of constant of serum albumin and treatment effect were investigated.Results At the end of treatment,there were 14 cases whose blood albumin ≥35 g/L,accounting for 31.11%,in the control group,only 5 cases,accounting for 11.11%,and the markedly effective rate and total effective rate in the research group and in the control group were respectively 62.22%,88.89% and 33.33%,71.11%,and the differences were statistically significant(χ~2=11.25,5.56,P<0.05).Conclusion The application of blood albumin in the hypoproteinemia after the surgical surgery can effectively improve the serum albumin constant of patients,which can obviously reduce the symptoms and the effect is obvious,and it is worth promotion.
引文
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[3]王宇.肝部分切除术后血清白蛋白水平降低的临床相关因素分析[D].大连:大连医科大学,2016(6):1-53.
[4]陈宏宽.益气健脾、活血养肝法治疗肝硬化低蛋白血症的临床研究[D].南京:南京中医药大学,2015.
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[7]周琴,唐莲,马月兰,等.人血白蛋白对高胆红素血症和低蛋白血症新生儿的临床疗效和安全性评价[J].中国地方病防治杂志,2017(4):444-445.
[8]陈猛,周月红,沈陆斐.综合性医院在低蛋白血症患者中合理性使用人血白蛋白的回顾性调查[J].中华全科医学,2016,14(11):1915-1917.
[9]姜思源,张锦.手术应激后低蛋白血症启因及治疗的最新进展[J].中华危重病急救医学,2017,29(3):284-288.
[10]孙楠,郭华.儿外科人血白蛋白应用情况分析[J].医药论坛杂志,2012(2):88-89.
[2]朱洪斌,汤春梅.人体白蛋白对慢性肺源性心脏病合并低蛋白血症的临床治疗[J].中国医药导报,2007,4(31):48-49.
[3]王宇.肝部分切除术后血清白蛋白水平降低的临床相关因素分析[D].大连:大连医科大学,2016(6):1-53.
[4]陈宏宽.益气健脾、活血养肝法治疗肝硬化低蛋白血症的临床研究[D].南京:南京中医药大学,2015.
[5]周国超,杨大刚.低蛋白血症的研究进展[J].贵州医药,2015(3):279-281.
[6]孙超,郭欣,许新华,等.低蛋白血症与临床各系统疾病转归的相关性研究进展[J].承德医学院学报,2015,32(5):435-437.
[7]周琴,唐莲,马月兰,等.人血白蛋白对高胆红素血症和低蛋白血症新生儿的临床疗效和安全性评价[J].中国地方病防治杂志,2017(4):444-445.
[8]陈猛,周月红,沈陆斐.综合性医院在低蛋白血症患者中合理性使用人血白蛋白的回顾性调查[J].中华全科医学,2016,14(11):1915-1917.
[9]姜思源,张锦.手术应激后低蛋白血症启因及治疗的最新进展[J].中华危重病急救医学,2017,29(3):284-288.
[10]孙楠,郭华.儿外科人血白蛋白应用情况分析[J].医药论坛杂志,2012(2):88-89.