回收式自体输血在剖宫产术后出血产妇中的价值分析

Analysis of the Value of Recovery Autotransfusion in Bleeding Parturient after Cesarean Section

目的分析回收式自体输血在剖宫产术后出血(PPH)产妇中的价值。方法回顾性分析该院2019年1月—2020年6月妇产科收治的80名剖宫产PPH产妇,根据输血方式不同分为两组,参照组40名,采取异体血输注治疗,研究组40名,采取回收式自体输血治疗,比较两组输血效果。结果研究组术中出血总量、术中和术后24 h内输血总量、术后血红蛋白水平、术后HCT水平和术后血小板水平分别是(945.32±123.01)mL、(1294.34±281.44)mL、(103.17±12.45)g/L、(0.33±0.04)、(112.63±12.01)×109/L,和参照组比较,差异无统计学意义(t=0.013、0.002、0.185、1.118、0.018,P>0.05)。研究组新生儿出生1 min和5 min Apgar评分和参照组比较,差异无统计学意义(P>0.05)。研究组产妇输血后24 h内不良反应发生率为5.00%显著低于参照组的30.00%,差异有统计学意义(χ^(2)=8.658,P<0.05)。结论回收式自体输血在剖宫产PPH产妇中的价值高,可有效减少输血的并发症,安全性高,值得推广和应用。

Objective To analyze the value of recovery autotransfusion in women with post-cesarean section hemorrhage(PPH).Methods A total of 80 cases of cesarean section PPH women admitted to the department of obstetrics and gynecology in the hospital from January 2019 to June 2020 were retrospectively analyzed.They were divided into two groups according to different blood transfusion methods,40 cases in the reference group were treated with allogeneic blood transfusion,and 40 cases in study group were treated with recovery autologous blood transfusion.Compared the effect of blood transfusion between two groups.Results In the study group,the total blood loss during the operation,the total blood transfusion during the operation and within 24 h after the operation,the postoperative hemoglobin level,the postoperative HCT level and the postoperative platelet level were(945.32±123.01)mL,(1294.34±281.44)mL,(103.17±12.45)g/L,(0.33±0.04),(112.63±12.01)×109/L,respectively,compared with the reference group,the difference was not statistically significant(t=0.013,0.002,0.185,1.118,0.018,P>0.05).There was no statistically significant difference in Apgar scores between the study group and the reference group at 1 min and 5 min after birth(P>0.05).The incidence of adverse reactions within 24 h after blood transfusion in the study group was 5.00%significantly lower than that in the reference group of 30.00%,and the difference was statistically significant(χ^(2)=8.658,P<0.05).Conclusion Retrieving autologous blood transfusion is of high value in women with PPH in cesarean section,which can effectively reduce the complications of blood transfusion,has high safety,and is worthy of promotion and application.