深度自体储血在骨科关节置换术中的应用价值研究

A Practical Value of Deep Autogenous Blood Storage in Joint Replacement

目的研究深度自体储血在骨科关节置换术中的应用价值。方法回顾性分析283例骨科关节置换术患者输血病例,根据是否深度自体储血分为异体组和自体组,比较两组患者的术前相关参数、术中出血量、术中自体/异体输血量、术后引流量、隐性失血量及术后恢复情况等参数。结果两组患者术后功能恢复良好,术后均无并发症发生;两组患者输血总量基本相等;两组患者在不同置换术中的显性出血、术后隐性失血、术前血红蛋白水平及术后住院日比较,差异均无统计学意义(P均>0.05);但双髋和双膝置换术的两组患者出院时血红蛋白水平的差异有统计学意义(P<0.05),自体组明显高于异体组。结论深度自体储血可以降低异体输血量,对患者手术及术后恢复无影响,尤其适用于单侧关节置换术。

Objective Research the application value of deep autologous blood in orthopedic joint replacement.Methods A retrospective analysis of 2 8 3 cases of orthopedic joint replacement patients transfusion cases,according to whether the depth of self-storage of blood into allogeneic transfusion group and autologous transfusion group.comparative analysis of two groups of patients preoperative parameters,intraoperative bleeding,Intraoperative autologous/allogeneic blood transfusion,postoperative drainage,hidden blood loss,postoperative recovery and other parameters.Results Two groups of patients recovered well after surgery,There were no complications after operation.The total amount of blood transfusion in both groups was basically the same;Two groups of patients in different replacement of dominant bleeding,there was no difference in the P values in occult blood loss,preoperative hemoglobin levels and postoperative hospital stay were greater than 0.05.When two groups of patients with double hip and knee replacement were discharged from the hospital,the P values in hemoglobin levels were less than 0.05,the P values in autologous group was significantly higher than allogeneic group.Conclusion Depth of autologous blood can reduce allogeneic blood transfusion,there is no effect on patient surgery and postoperative recovery.It is especially suitable for unilateral arthroplasty.