血液自体回输在骨科手术患者中的应用观察

Observation on the application of autologous blood transfusion in patients undergoing orthopedic surgery

目的:探讨临床骨科手术患者给予血液自体回输治疗的应用效果。方法:2019年1月-2020年5月收治实施骨科手术治疗的患者20例,随机分为两组,各10例。对照组实施异体输血;观察组实施血液自体回输。比较两组治疗效果。结果:观察组输血后12 h血红蛋白(Hb)、红细胞压积(HCT)及血小板(PLT)等凝血指标水平均高于对照组,差异有统计学意义(P<0.05);观察组各项血流动力学指标水平均低于对照组,差异有统计学意义(P<0.05)。结论:对临床骨科手术患者给予血液自体回输治疗,可以确保手术治疗效果,是骨科手术治疗中较为重要的一项血液保护措施,对安全、节约用血有一定的保障作用。

Objective:To explore the effect of blood autotransfusion in patients undergoing clinical orthopedic surgery.Methods:From January 2019 to May 2020,20 patients who underwent orthopedic surgery were selected,they were randomly divided into the two groups with 10 patients in each group.The control group used allogeneic blood transfusion.The observation group was performed autologous blood transfusion.The therapeutic effects of the two groups were compared.Results:The levels of coagulation indicators such as hemoglobin(Hb),hematocrit(HCT)and platelets(PLT)in the observation group 12 h after transfusion were higher than those in the control group,the difference was statistically significant(P<0.05).The levels of hemodynamic indexes in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Autologous blood transfusion for patients undergoing orthopedic surgery can ensure the effect of surgical treatment.It is an important blood protection measure in orthopedic surgery and plays a certain role in safe and economical use of blood.