腰椎退变性疾病围手术期隐性失血相关因素分析

发布时间：2018-05-16 03:06

  本文选题：腰椎退变性疾病 + 隐性失血　； 参考：《浙江大学》2015年硕士论文

【摘要】：目的： 探讨影响围手术期腰椎退行性疾病隐性失血量的相关因素。 方法： 回顾性分析2013年6月至2013年12月腰椎退行性疾病(腰椎间盘突出症、腰椎管狭窄、腰椎滑移)行TLIF术患者的围手术期临床资料,资料完整、符合纳入标准的共计80例,分别统计了他们术后的隐性失血量。比较性别、年龄、身高、体重、BMI指数、有无伴随疾病(高血压、糖尿病)、手术时间、融合节段数、术中有无输血对隐性失血量的影响。 结果： 患者围手术期总失血量1296+512m1,隐性失血量719+452m1,隐性失血量占总失血量的55.4%。男、女组无统计学意义；年龄60岁组和年龄≥60岁组比较无统计学意义；体重65kg组和体重65kg组比较无统计学意义；身高1.59m、身高1.60-1.7m、身高1.7m,三组间比较无统计学意义；BMI指数26组和BMI指数26组比较无统计学意义；有伴随疾病组和无伴随疾病组比较有统计学意义；手术时间A≤小时、B=2-3小时、C3小时,A和c比较有统计学差异,A和B、B和C比较无统计学差异；融合节段数A(1个节段)、B(2个节段)、C(≥3个节段),A和C比较有统计学意义,A和B、B和C比较无统计学意义。术中输血组和未输血组比较有统计学意义。 结论： 腰椎退变性疾病行TLIF术后隐性失血量大于显性失血量。影响隐性失血的相关因素为有无伴随疾病、手术时间、融合节段数和有无输血。
[Abstract]:Objective: To investigate the factors influencing recessive blood loss of lumbar degenerative disease in perioperative period. Methods: The perioperative clinical data of patients with lumbar degenerative diseases (lumbar disc herniation, lumbar spinal stenosis, lumbar slippage) undergoing TLIF from June 2013 to December 2013 were retrospectively analyzed. The recessive blood loss after operation was counted respectively. The effects of sex, age, height, body weight and BMI, whether associated diseases (hypertension, diabetes mellitus, operative time, number of fusion segments, intraoperative blood transfusion or not) on recessive blood loss were compared. Results: The total blood loss and recessive blood loss were 1296 12 ml and 719 452 ml in perioperative period respectively. The recessive blood loss accounted for 55.4% of the total blood loss. There was no significant difference between male and female groups, there was no significant difference between the age group of 60 years old and the age group of 鈮，

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