摘要
目的 探讨自体血液回输技术在手术中的应用效果。方法 选取本院2013年1月-2015年12月接受手术治疗且术中接受输血的80例患者作为研究对象,根据输血方式的不同分为观察组和对照组,每组40例。观察组采用自体血液回输,对照组采用同种异体输血。比较两组患者的术中输血量和出血量、术后出血量和输血量、并发症发生率,并对两组患者手术前及手术后第1天、第3天的血红蛋白浓度进行分析。结果 观察组和对照组的术中出血量比较,差异无统计学意义（P〉0.05）;观察组的术中异体输血量、术后异体输血量、术后出血量均较对照组明显更低（P〈0.05）。手术前及手术后第1天、第3天,观察组和对照组的血红蛋白浓度进行比较,差异均无统计学意义（P〉0.05）。观察组的并发症发生率为2.5%,较对照组的15.0%明显更低（P〈0.05）。结论 在外科手术中,采取自体血液回输技术给予患者血容量补充,可在保证患者血容量补充充分、血液维持有效循环的情况下,尽可能减少并发症的发生,同时还能有效节约血液资源。
Objective To study the application effect of autologous blood transfusion in surgery.Methods In January 2013 to December 2015,80 cases of patients received surgical treatment and intraoperative blood transfusion in the hospital were selected as the research object.According to the different ways of blood transfusion,the patients were di- vided into observation group and control group,each group had 40 cases.The observation group received autologous blood transfusion,and the control group received allogeneic blood transfusion.The intraoperative blood transfusion volume and the amount of bleeding,postoperative bleeding and the amount of blood transfusion,incidence of complications were compared between two groups,and the hemoglobin concentration of two groups before surgery and after surgery, 1 day,3 days were compared.Results There was no significant difference in the amount of bleeding during operation between the observation group and the control group （P〉0.05）,but the amount of blood transfusion,blood transfusion and blood loss after operation in the observation group were significantly lower than that in the control group （P〈0.05）.Before surgery and after first days,third days,the hemoglobin concentration of the observation group and the control group was compared,the difference was not statistically significant （P〉0.05）.The complication rate of observation group was 2.5%,which was significantly lower compared with the control group of 15.0% （P〈0.05）.Conclusion In the surgery,the patients given blood volume replacement by autologous blood transfusion,can ensure the full supplement blood volume,the maintenance of blood circulation,as far as possible to reduce complications,but also can effectively save blood resources.
出处
《中国当代医药》
2016年第20期41-43,共3页
China Modern Medicine
基金
广东省肇庆市科技创新计划项目(2014E279)
关键词
自体血液回输
手术
同种异体输血
Autologous blood transfusion
Surgery
Allogeneic blood transfusion
