回收式自体输血在骨科手术中的应用  

Application and Nursing of Intraoperative Autotransfusion in Orthopedic Surgery

作　　者：胡淑萍[1] 韩晚霞[1] 林志育[1] 

机构地区：[1]黄陂区人民医院骨二科,湖北武汉430300

出　　处：《江汉大学学报（自然科学版）》2014年第6期75-77,共3页Journal of Jianghan University：Natural Science Edition

摘　　要：目的对回收式自体输血在骨科手术中的应用效果进行探究分析。方法选取2013年3月-2014年8月接受治疗的62例骨科手术患者作为研究对象,按照住院尾号的奇数将其分为观察组和对照组,分别为32例和30例,对照组采用中心吸引吸出术野出血,观察组患者给予回收式自体输血。结果观察组患者和对照组患者术前和术后的Hct、Hb以及术中出血量情况对比差异无统计学意义(P>0.05);观察组患者的输异体血量明显少于对照组(P<0.05);观察组患者的输异体血病例率明显低于对照组(P<0.05)。结论在骨科手术过程中应用回收式自体输血,能够有效避免或者减少输异体血,并降低或者杜绝发生输异体血等并发症,可在骨科中推广应用。Objective To explore the application effect of intraoperative autotransfusion in operation of orthopedics department. Methods Chose 62 cases of bone surgery from Mar. 2013 to Aug. 2014 as research object,divided them into observation group and control group according to the length of tail number of odd,respectively 32 cases and 30 cases. The control group was treated with center suction for bleeding in operation field,and the observation group was treated with intraoperative autotransfusion. Results There were no statistical significance on Hct,Hb and bleeding amount between observation group and control group before and after surgery（P〉0. 05）;the allogeneic transfusion amount of observation group was obviously lower than that in control group（P〈0. 05）;the allogeneic transfusion cases of observation group was obviously lower than that in control group（P 〈0. 05）. Conclusions Application of intraoperative autotransfusion in orthopedic surgery,can effectively avoid or reduce allogeneic transfusion and the complications,it can be popularized in orthopedic department.

关 键 词：骨科手术 回收式自身输血 护理 

分 类 号：R457.1[医药卫生—治疗学] R68[医药卫生—临床医学]