术中加温输血对术后静脉血栓发生及认知恢复的影响

发布时间：2018-10-10 16:29

【摘要】：目的:探讨术中加温输血对术后静脉血栓发生及认知恢复的影响。方法:选择全麻下择期行髋膝关节置换术150例,随机分为输血加温组和对照组。术后评估血栓事件发生率;用简易智力状况检查法(MMSE)评估术后1、3、7天的认知功能恢复率。结果:术后2组血栓事件发生率差异无统计学意义(P0.05)。加温组发生肺动脉血栓1例,下肢深静脉血栓3例;对照组发生下肢深静脉血栓2例。2组认知恢复率差异无统计学意义(P0.05)。结论:术中少量输血加温对术后静脉血栓发生及认知恢复无明显影响。
[Abstract]:Objective: to investigate the effect of intraoperative warming blood transfusion on postoperative venous thrombosis and cognitive recovery. Methods: 150 patients undergoing selective hip and knee arthroplasty under general anesthesia were randomly divided into two groups: transfusion warming group and control group. The incidence of thrombotic events was evaluated after operation and the recovery rate of cognitive function was evaluated by simple mental state test (MMSE) at 1: 3 and 7 days postoperatively. Results: there was no significant difference in the incidence of thrombotic events between the two groups (P 0.05). There were 1 case of pulmonary artery thrombosis and 3 cases of deep vein thrombosis of lower extremity in the warming group and 2 cases in the control group. There was no significant difference in the recovery rate of cognition between the two groups (P0.05). Conclusion: there is no significant effect on postoperative venous thrombosis and cognitive recovery after intraoperative blood transfusion and warming.
【作者单位】：浙江大学医学院附属邵逸夫医院;宁夏医科大学总医院;
【基金】：宁夏回族自治区科技攻关计划宁陕合作项目(2012)
【分类号】：R687.4

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