自体血回输与异体输血对择期行脊柱椎间融合器植入植骨融合术患者的影响

Effects of Autologous Blood Transfusion and Allogenic Blood Transfusion on the Patients Undergoing Selective Operation of Intervertebral Fusion with Cage

目的比较自体血回输与异体输血对择期行脊柱椎间融合器植入植骨融合术患者的影响。方法在2012年9月至2014年6月于我院骨科行脊柱椎间融合器植入植骨融合术的患者中,随机选取术中只进行自体血回输的患者20例(A组)和术中仅输入异体血的患者20例(B组)。比较2组患者手术前后主要血常规指标、手术前后体温、术后恢复指标及用血费用。结果A组患者术后红细胞与血红蛋白指标高于B组,差异有统计学意义(P<0.05)。若用术中血量达到或超过4 U,自体血回输费用低于异体输血费用。结论自体血回输有利于提高患者术后红细胞与血红蛋白指标。在用血量较大的情况下,自体血回输可以降低用血费用。

Objective To compare the effects of autologous bloed transfusion and allogenic blood transfusion on the patients undergoing selective operation of intervertebral fusion with cage. Methods Forty patients who underwent selective operation of intervertebral fusion with cage in the De- partment of Orthopedics of our hospital from September 2012 to June 2014 were recruited for the study, including 20 cases that received autologous blood transfusion only （group A） and 20 cases that received allogenic blood transfusion only （group B ）. Preoperative and postoperative results of blood routine examination, body temperature, postoperative recovery indicators and expense of blood transfusion were compared between the two groups. Results The postoperative erythrocyte and hemoglobin of the patients in group A were significantly higher than those in group B （ P 〈 0.05 ）. When the amount of blood used during the operation reaches or exceeds 4 units, the expense of autologous blood transfusion was lower than that of allogenic blood transfusion. Conclusion Autologous blood transfusion contributes to higher levels of postoperative erythrocyte and hemoglo- bin. When a large amount of blood is used during an operation, autotransfusion can help to reduce the expense of blood transfusion.