强直性脊柱炎患者经椎弓根椎体截骨术中使用血液回收机的效能研究

发布时间：2018-03-01 14:24

本文关键词： 强直性脊柱炎经椎弓根椎体截骨术血液回收机输血并发症效能　出处：《中国现代医学杂志》2015年27期 　论文类型：期刊论文

【摘要】：目的研究强直性脊柱炎患者经椎弓根椎体截骨(PSO)术中使用血液回收机进行自体血回收-回输的效能。方法择期全身麻醉下行PSO的强直性脊柱炎患者55例,年龄17~55岁,性别不限,ASA分级Ⅰ或Ⅱ级。根据是否使用血液回收机进行自体血回收-回输,将其分为2组:对照组(C组,n=32)和试验组(CS组,n=23)。记录患者的一般资料及相关手术指标,记录术中失血量和同种异体血的输入量,记录输血不良反应的发生情况。结果两组患者的手术情况和术中失血量无明显差异。与C组患者比较,CS组患者术中异体红细胞使用量明显减少,分别是2 362.5 ml和1 556.5 ml(P=0.002)。2组患者均未见输血不良反应。2组患者的输血费用差异无统计学意义(P=0.737)。结论强直性脊柱炎患者PSO术中使用血液回收机可以减少同种异体血的输入量,未增加患者的输血费用。
[Abstract]:Objective to study the efficacy of autologous blood recovery and transfusion in patients with ankylosing spondylitis treated by transpedicular vertebra osteotomy. Methods 55 patients with ankylosing spondylitis undergoing PSO under selective general anesthesia, aged 17 to 55 years, were enrolled in this study. The patients were divided into two groups: control group C group (n = 32) and test group CS group (n = 23). The general data of the patients and the related surgical indexes were recorded according to whether the blood recovery machine was used for autologous blood recovery and transfusion, and the control group was divided into two groups: control group (group C) and test group (group C). The amount of blood lost during operation and the input of allogeneic blood were recorded. Results there was no significant difference in the operation and blood loss between the two groups. Compared with group C, the use of allogeneic red blood cells in CS group was significantly decreased. There was no significant difference in blood transfusion cost between 2 362.5 ml and 1 556.5 ml(P=0.002).2 group. Conclusion the use of blood collector in patients with ankylosing spondylitis during PSO operation can reduce the amount of allogeneic blood transfusion. There is no increase in the cost of blood transfusions for patients.
【作者单位】：南京大学医学院附属鼓楼医院麻醉科;
【基金】：江苏省医学重点学科(No:XK201140) 江苏省医学重点人才(No:RC2011006)
【分类号】：R687.3

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