贮存式自体输血在Rh(D)阴性孕妇分娩中的效果评价

Effect of storage of autologous blood transfusion of blood type of Rh(D) in delivery of pregnant women

目的评价贮存式自体输血在Rh(D)阴性孕妇分娩中的效果。方法对垫江县人民医院2010年1月至2012年6月Rh(D)阴性孕妇符合自身贮血条件者,采用贮存式自体输血。以最后一次采血后3d所测的血液指标作为统计数据,同时记录分娩或手术中出血量及各血液指标的变化,并记录出生的新生儿的体质量,进行Ap-gar评分。结果 38例孕妇采血后,血液指标均较采血前下降,但差异无统计学意义(P>0.05);回输后,孕妇网织红细胞(Ret)为(37.23±8.52)×109/L,较回输前明显升高(P<0.05),其余血液指标变化差异无统计学意义(P>0.05);阴道分娩16例,剖宫产22例,产后母婴情况良好,新生儿出生体质量平均(3.2±0.8)kg,Apgar评分为9～10分。结论贮存式自体输血不会对母婴造成很大影响,相对于异体输血更科学、安全、有效,特别是对于RhD阴性血的孕妇,开展贮存式自体输血尤其有重要的意义。

Objective To evaluate the effect of storage of autologous blood transfusion of blood type of Rh（D） in delivery of pregnant women.Methods From Jan.2010 to Jun.2012,the pregnant women with blood type of Rh（D） were treated by storage of autologous blood transfusion.Hematology indices of 3 days after last drawing were used as statistics.Meanwhile,the changes of hematology indices and amount of bleeding were recorded in delivery,then the weigth of neonatus was recorded,after that,Apgar score was performed.Results Hematology indices of 38 cases were lower after drawing blood than before,but there was no significant difference（P〈0.05）.After transfusion,Ret was（437.23±8.52）×109/L,it was significantly different than before（P〈0.05）.The rest hematology indices did not change significantly before and after transfusion（P〉0.05）.16 cases were vaginal delivery,22 cases were cesarean section.After childbirth,both maternal and child were good.The average weight of neonatus was（3.2±0.8）kg,Apgar score was 9-10.Conclusion Storage of autologous blood transfusion can not have effect on maternal and child.Compared with allogeneic blood transfusion,it is safer,more scientific and effective especially for pregnant women with blood type of Rh（D）.