神经外科围手术期不同血红蛋白检测方式的比较及意义

Comparison and significance of different hemoglobin detection methods in the department of neurosurgery during perioperative period

目的:探讨神经外科围手术期不同血红蛋白检测方式的差异以及意义。方法:收治进行择期脑膜瘤切除术的患者72例,选取术前进行麻醉诱导,选取合适的患者体位后、术中患者脉搏血氧血红蛋白变化达20%(SpHb)、输血前10 min、输血后0.5 h等4个时间节点进行血标本的抽取。对采集得到的血标本利用脉搏血氧测量仪法(SpHb)、血红蛋白专用测定仪(HCue)与碳氧血氧仪(tHb)进行比较,对几种方法的准确性、相关性以及一致性、时效性等进行评估。结果:对72例患者采用Sp Hb、HCue、tHb等方式进行测定,取得数据后分析发现,3者之间的相关关系较为明显。结论:HCue与tHb之间具有相关性和一定的一致性,但其测量值的准确性不如t Hb与HCue。

Objective:To investigate the difference and significance of different hemoglobin detection methods in the department of neurosurgery during perioperative period.Methods:72 patients underwent elective meningioma resection were selected.Anesthesia induction was performed before operation.The blood samples were taken at 4 time points after the patients' select theappropriate patient position,intraoperative pulse oximetry changes in patients up to 20%(SpHb),10 min before transfusion,and 0.5h after blood transfusion.The blood samples were collected and compared by pulse blood oxygen measuring instrument(SpHb),hemoglobin measurement instrument(HCue),carbon oxygen oximetry(tHb),and the accuracy,relevance,consistency,and timeliness of several methods were evaluated.Results:72 cases of patients using SpHb,HCue,tHb,and so on were measured,obtained data analysis found that,and the correlation between the 3 was more obvious.Conclusion:There is correlation and consistency between HCue and tHb,but the accuracy of the measurement is not as good as tHb and HCue.