先天性心脏病患儿术中输血影响因素研究

发布时间：2018-05-13 09:29

本文选题：先天性心脏病 + 患儿　；参考：《中国输血杂志》2017年06期

【摘要】：目的了解先天性心脏病患儿术中输血的特点、术中输血的影响因素,筛选适用于临床术前评估患儿输血风险的指标,以期为患儿提供精细化输血治疗。方法回顾性分析2015年1-2月份于北京安贞医院小儿心脏外科行先天性心脏病手术的患儿病历资料300例。按照年龄分组:0-12M组,1-3岁组,3岁以上组。将可疑的影响因素进行组间比较后,将有统计学意义的影响因素进行多因素logistic回归分析,筛选各组患儿输血的影响因素。结果300例患儿中,238例接受术中输血治疗,输血率为79.33%。0-12M组输血率为95.45%;1-3岁组输血率为82.02%;3岁以上输血率为29.82%。logistic分析显示,0-12M组,体术前血红蛋白浓度是该组患儿输血的影响因素;1-3岁组,年龄、术前血红蛋白浓度是该组患儿输血的影响因素;3岁以上组,体重、术中出血量是该组患儿输血的影响因素。结论结合先心病患儿的用血特点及各年龄组输血影响因素,可综合评估患儿术中输血风险,实现患儿术前个性化备血方案。
[Abstract]:Objective to investigate the characteristics of intraoperative blood transfusion in children with congenital heart disease and the influencing factors of intraoperative blood transfusion. Methods the medical records of 300 cases of congenital heart disease were retrospectively analyzed in January and February 2015 in Beijing Anzhen Hospital. According to their age, they were divided into 0-12 M group, 1-3 years old group and 3 years old group. After the dubious influencing factors were compared among groups, multivariate logistic regression analysis was carried out to screen the influential factors of blood transfusion in children in each group. Results among the 300 cases, 238 cases received intraoperative blood transfusion. The blood transfusion rate was 79.33 and the blood transfusion rate of 0-12M group was 95.454.The blood transfusion rate of the 1-3 year old group was 82.022and more than 3 years old. The 29.82%.logistic analysis showed that the hemoglobin concentration before operation was the influencing factor of blood transfusion in the group of 1-3 years old. Age, preoperative hemoglobin concentration were the influential factors of blood transfusion in this group. Body weight and intraoperative blood loss were the influential factors of blood transfusion in the group over 3 years old. Conclusion combined with the characteristics of blood use in children with congenital heart disease and the influencing factors of blood transfusion in different age groups, the risk of intraoperative blood transfusion can be comprehensively evaluated and the preoperative individualized blood preparation scheme can be realized.
【作者单位】：首都医科大学附属北京安贞医院;
【分类号】：R457.1;R726.1

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