骨科手术患者自体血回输情况分析

On the Conditions of Autologous Blood Transfusion in Patients with Orthopedic Operation

目的:对行骨科择期手术患者自体血回输情况进行分析。方法:观察组116例患者手术前或麻醉状态下采患者自体血400～600 mL,同时在术中回收术野中回输自体血600～800 mL,并测定电解质(K+、Na+、Cl-)、血红蛋白(Hb)、血细胞压积(HCT)、血小板(PLT)、凝血时间(PT)、活化部分凝血酶时间(APTT)、全血黏度,与对照组111例(同期输异体血的手术患者)进行对比分析。结果:自体输血组Hb、HCT、PLT、PT、APTT、K+、Na+、Cl-各数据与术前相比差异无统计学意义(P>0.05),对照组Hb、HCT下降(P<0.05),PT、APTT、Na+、Cl-、血液黏度与自体输血组比较有显著差异(P<0.05)。结论:骨科择期手术患者在围手术期间应用自体输血技术,可节约异体血液,降低输血风险,促进患者术后康复。

Objective： To analyze the conditions of autologous blood transfusion in orthopedic patients with selective operation. Method： Before surgery or under the condition of anesthesia, 116 patients were drawn the blood 400 to 600 mL, at the same time, blood, 600 to 800 mL, in the operative field was recovered, transfusion, electrolyte （K＋, Na＋, Cl-）, Hb, HCT, PLT, PT, APTT, whole blood viscosity of patients were detected and analyzed, the indexes were compared with 111 cases in the control group （patients receiving allogeneic blood transfusion）. Result： The dif- ferences of autologous blood transfusion group had no statistical meaning in Hb, HCT, PLT, PT, APTT, K＋, Na＋ and CI before and after the surgery （P〉0.05）, Hb and HCT of the control group were decreased （P〈0.05）, comparison between both groups showed significant difference in PT, APTT, Na＋, Cl- and blood viscosity （P〈0.05）. Conclusion： During the perioperative period, patients with selective operation could accept autologous blood transfusion to save allogeneic blood, decrease the risk of blood transfusion and promote the rehabilitation after surgery.