评价国产血液回收设备的自体血液回收效果

The clinical study of the autologous blood salvage effects of Xijing XJ-12-05 type cell saver device during cardiac surgery

目的评价西京XJ-12-05型血液回收设备在心脏手术中对自体血液的回收效果。方法 68例心脏手术患者,根据血液回收设备的不同,随机分为两组:XJ组(西京XJ-12-05型)和CS组(美国血液Cell saver 5+型),每组34例。通过对常规及浓缩处理后血液的血红蛋白(Hb)含量、红细胞比容(Hct)水平、血液的流变学测定;以及红细胞(RBC)的回收率、游离血红蛋白(FHb)、葡萄糖(Glu)、血尿素氮(BUN)、乳酸(Lac)清除率的测定,来比较两种血液回收设备对自体血液的回收效果。结果 XJ组Hb含量及Hct水平高于CS组(P<0.05),而RBC回收率、FHb、Glu、BUN、Lac清除率组间比较无显著统计学意义(P>0.05)。结论 XJ组常规RBC浓缩能力高于CS组,而浓缩处理能力组间比较无统计学差异,其它各项观察指标组间比较无统计学差异。

Objective To evaluate the autologous blood salvage effects of Xijing XJ-12-05 type cell saver device during cardiac surgery.Methods 68 patients were divided randomly into 2 groups according to the different cell saver devices:Group XJ(XJ-12-05,Xijing,n=34),Group CS(Cell saver 5+,USA,n =34).In order to compare the effects of autologous blood salvage between the two differ-ent cell saver devices,processed blood were analyzed for the content of hemoglobin(Hb),hemotacrit(Hct),and the change of hemorheolo-gy,as well as the salvage rate of red blood cell(RBC) and the clearance rate of free hemoglobin(FHb),glucose(Glu),blood urea nitro-gen(BUN) and lactate(Lac).Results The RBC concentration ability of Group XJ was better than Cell saver 5+.The concentration ability was same between the two kinds of cell saver device.Conclusion The RBC concentration ability of Group XJ is better than that of Group CS.The concentration ability is same between the two Groups.There are no significant differences among the other indexes.