储存式自体输血在Rh(D)阴性血型产妇输血中的应用效果及安全性

Efficacy and safety of stored autotransfusion in Rh(D)-negative parturients

目的探讨在Rh(D)阴性血型产妇输血中储存式自体输血应用效果以及安全性。方法选取2019年6月至2021年6月本院收治的90例Rh(D)阴性血型产妇作为研究对象,均采用储存式自体输血方式进行输血治疗干预,比较不同时间段血液学指标[血红蛋白(Hb)、红细胞计数(RBC)、血小板(PLT)及红细胞压积(HCT)]变化。结果采血前、采血后24 h及回输血后,产妇Hb、RBC、PLT、HCT水平比较差异无统计学意义;所有产妇在采血过程中,均未呈现出手脚冰凉、面色苍白以及全身虚汗等表现;胎心监护未发现异常情况;所有新生儿Apgar评分8~10分,均在正常范围。结论合理采用储存式自体输血方式进行干预,可避免针对Rh(D)阴性血型产妇在实施手术过程中,呈现出血源紧张情况,安全性较高,值得临床推广应用。

Objective To investigate the efficacy and safety of stored autotransfusion in Rh(D)-negative parturients.Methods 90 maternal patients with Rh(D)negative blood group admitted to our hospital from June 2019 to June 2021 were selected as the study subjects,all of them were treated with stored autotransfusion therapy,and the changes of hematological indexes in different time periods were compared.These include hemoglobin(Hb),red blood cell count(RBC),platelets(PLT),and hematocrit(HCT).Results There was no significant difference in Hb,RBC,PLT and HCT levels before blood collection,24 h after blood collection and after blood transfusion.All the parturient women did not show cold hands and feet,pale face and general sweating during blood collection.Fetal heart monitoring found no abnormalities;Apgar scores of all neonates ranged from 8 to 10,which were in the normal range.Conclusion The rational use of stored autotransfusion intervention can avoid the occurrence of bleeding source tension in Rh(D)negative women during the operation,and obtain high safety and application effect,which is worthy of clinical promotion and application.