预存式自体输血用于产科Rh(D)阴性输血治疗的分析

Analysis of Pre-stored Autologous Blood Transfusion Used in Obstetrics Rh(D)Negative Blood Transfusion

目的:分析预存式自体输血用于产科Rh(D)阴性输血治疗的效果。方法:选取2019年3月至2021年3月期间于三明市第一医院采取预存式自体输血治疗的100例Rh(D)阴性血孕妇,比较孕妇采血前后及回输前后的血红蛋白(Hb)、红细胞压积(HCT)与血小板(PLT)水平的变化情况,并统计孕妇分娩方式与新生儿结局。结果:100例孕妇均完成预存式采血,采血时母婴生命体征平稳,未发生献血反应;67例孕妇接受自体血回输,回输时母婴体征平稳,未发生不良反应;孕妇采血前后、回输血前后Hb、HCT、PLT水平比较,差异无统计学意义(P>0.05);100例孕妇中,72例顺产,28例剖宫产;新生儿体质量为2.75~4.13 kg,平均(3.34±2.25)kg,Apgar评分为9~10分,平均(9.53±0.15)分。结论:预存式自体输血用于产科Rh(D)阴性输血治疗中的效果较好,采血前后与回输前后孕妇及胎儿的生命体征较为平稳,未发生献血反应,且新生儿状况良好。

Objective To analyze the effect of pre-stored autologous blood transfusion used in obstetrics Rh(D)negative blood transfusion.Methods 100 pregnant women in Sanming First Hospital from March 2019 to March 2021 adopt pre-stored autologous blood transfusion used in obstetrics Rh(D)negative blood transfusion.To compared the changes of hemoglobin(Hb),red blood cells deposited(HCT)and platelet(PLT)levels before and after blood collection and transfusion,and statistics on the mode of delivery and neonatal outcomes were analyzed.Results All the 100 pregnant women completed pre-stored autologous blood transfusion collection.The vital signs of mother and infants were stable and no blood donation reaction occurred during blood collection.67 pregnant women received autologous blood transfusion,and there were no adverse reactions.There was no significant difference in Hb,HCT and PLT levels before and after blood collection(P>0.05).Among the 100 pregnant women,72 cases delivered naturally and 28 cases delivered by cesarean section.The neonatal body weight was 2.75~4.13 kg,with an average of(3.34±2.25)kg,and Apgar score was 9~10 points,with an average of(9.53±0.15)points.Conclusion Pre-stored autologous blood transfusion in the treatment of obstetrics Rh(D)negative blood transfusion has a good effect.The vital signs of pregnant women and fetuses are stable before and after blood collection and transfusion,and there is no blood donation reaction,and the newborn is in good condition.