术中自体血回输对脊柱手术患者凝血功能的影响

Effect of Intraoperative Autologous Blood Transfusion on Coagulation Function in Patients Undergoing Spinal Surgery

目的:分析术中自体血回输对脊柱手术患者凝血功能的影响。方法:2015年12月-2018年3月在本院收治的脊柱手术患者中选取60例,以术中输血方式为依据分为两组,观察组患者术中行自体血回输,对照组患者术中行异体输血,对两组患者术后并发症、出血情况及输血前后凝血功能变化情况进行对比分析。结果:两组患者术前与术后24 h Fig、APTT、TT、PT水平对比,差异均无统计学意义(P>0.05);观察组低蛋白血症、神经血管损伤发生率低于对照组,差异有统计学意义(P<0.05);相较于对照组,观察组患者术后1、3 d与总出血量更少,差异均有统计学意义(P<0.05)。结论:术中自体血回输不会影响脊柱手术患者凝血功能,能降低并发症发生率,减少出血量,值得推广。

To analyze the effect of intraoperative autologous blood transfusion on coagulation function in patients undergoing spinal surgery.Method:From December2015to March2018,60patients with spinal surgery admitted to our hospital were selected.Based on intraoperative blood transfusion,60patients were divided into two groups.The patients in the observation group received intraoperative autologous blood transfusion,the patients in the control group underwent allogeneic blood transfusion during surgery.The postoperative complications,hemorrhage,and changes in coagulation function before and after transfusion were compared in two groups.Result:There were no significant differences in Fig,APTT,TT and PT levels between the two groups before and after surgery24h(P>0.05).The incidence of hypoproteinemia and neurovascular injury were lower in the observation group compared with the control group(P<0.05).Compared with the control group,the bleeding volume of1and3d after operation and the total blood loss of the observation group were less(P<0.05).Conclusion:Intraoperative autotransfusion does not affect coagulation in patients undergoing spinal surgery.It can reduce the incidence of complications and reduce the amount of bleeding.It is worthy of promotion