预存式自体输血采集时机的探索研究

发布时间：2018-06-15 00:08

本文选题：预存式自体输血 + 择期手术　；参考：《中国输血杂志》2016年11期

【摘要】：目的通过比较预存式自体输血不同采集时机对择期手术患者术后恢复的影响,探索安全有效的适于预存式自体输血开展的自体血采集时机。方法选择本院2014年1月至2015年5月入院的符合预存式自体输血指征择期手术患者144例,其中试验组:术前2 d内采集自体血患者88例,对照组:手术前3 d及以上患者56例,对2组患者术后1、3 d Hb、Hct、异体血输注率、术中出血量及术后平均住院日进行比较。结果试验组患者术后1 d Hb水平较对照组高(118.2±16.5 g/L,111.5±15.5 g/L,P0.05),试验组患者术后3 d Hb水平较术后1 d降低(112.5±19.7 g/L,118.2±16.5g/L,P0.05),但仍高于110 g/L,2组患者术后Hct变化、异体血输注率及术后平均住院天数差异无统计学意义(P0.05),但试验组平均住院日较对照组缩短(14.7±5.5,18.8±8.9,P0.05)。结论择期手术患者在术前2 d内进行自体血采集储存对患者术后恢复未产生不利影响,且有助于缩短平均住院日,利于预存式自体输血的开展。
[Abstract]:Objective to explore a safe and effective autologous blood acquisition opportunity for preexisting autologous blood transfusion by comparing the influence of different acquisition time on postoperative recovery of patients undergoing selective autologous blood transfusion. Methods 144 patients who were admitted to our hospital from January 2014 to May 2015 were selected, including 88 patients with autologous blood collected within 2 days before operation in the trial group and 56 patients with autologous blood in the control group. The blood transfusion rate, intraoperative bleeding volume and average hospital stay were compared between the two groups on the 1st and 3rd day after operation. Results the HB level in the trial group was 118.2 卤16.5 g / L, 111.5 卤15.5 g / L P 0.05g / L, and 112.5 卤19.7 g / L 118.2 卤16.5g / L P 0.05g / L respectively on the 3rd day after operation, but still higher than that in the 110g / L group. There was no significant difference in the allogeneic blood transfusion rate and the average length of hospitalization after operation (P 0.05), but the average hospital stay in the experimental group was shorter than that in the control group (14.7 卤5.5 卤18.8 卤8.9). Conclusion the autologous blood collection and storage within 2 days before operation has no adverse effect on the recovery of the patients, and it is helpful to shorten the average hospital stay and to carry out the autologous blood transfusion.
【作者单位】：北京军区总医院输血科;
【基金】：北京市东城区科技计划项目(2014-2-003)
【分类号】：R457.1

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