储存式自体备血对疤痕子宫孕妇妊娠结局的影响分析  

Analysis of the Effects of Stored Autologous Blood on the Pregnancy Outcome of Pregnant Women with Scarred Uterus

作　　者：唐桂艳[1] 乐江华[1] 彭凌湘[1] 梁英叶 盆晓萱 

机构地区：[1]广西桂林医学院附属医院产科,广西桂林541001

出　　处：《中国卫生产业》2015年第29期39-41,139,共4页China Health Industry

摘　　要：目的分析储存式自体备血对疤痕子宫孕妇妊娠结局的影响。方法选择2013年1月1日—2014年12月31日该院疤痕子宫孕妇400例,采用随机数字表法分为实验组和对照组,对照组未行备血,实验组术前1 d采自体血200 m L备用,分析比较其妊娠结局。结果分析实验组孕妇与胎儿采血前后生命体征变化情况,除舒张压出现了极小幅度的变化之外,并且这种变化并不属于临床意义中的血压下降。其他的指标均无明显变化,说明储存式自体备血对孕妇以及胎儿并无影响。比较两组孕妇采血前与回输后血液指标变化情况,发现Hb出现了小幅度的下降但是仍然处于正常范围,这一点可能与分娩后组织液回收和血液稀释有关,其他血液指标差异无统计学意义(P>0.05)。比较两组妊娠结局,两组在产后24 h出血量、新生儿出生体重、Apgar评分差异无统计学意义(P>0.05)。结论使用储存式自体备血方式减少异体输血血量,从而减少了异体输血带来的不良反应以及疾病的传播,整个采血前后操作安全有效,不会影响孕妇妊娠结局,值得临床推广使用。Objective Effect of storage type of autologous blood on the pregnancy outcome of pregnant women with scar uterus. Methods From January 1, 2013 to December 31, 2014, 400 cases of pregnant women in our hospital were randomly divided into experimental group and control group. The experimental group was prepared with 200 mL 1 days before opera- tion. Results The changes of vital signs of the pregnant women and the fetus were analyed. Besides, the changes of the di- astolic blood pressure were not significantly changed, and this change was not significant in the clinical significance. Other indicators were not significantly changed, which showed that the storage type of autologous blood on pregnant women and fetuses had no effect. The changes of blood indexes in the two groups before and after blood transfusion were compared, and the decrease of Hb was found to be in the normal range, which may be related to the recovery of tissue fluid and blood after delivery, and other blood parameters were not statistically significant（P〉0.05）. The two groups of pregnancy outcome, the two groups in the postpartum 24 h bleeding, neonatal birth weight, Apgar score was not statistically significant（P〉0.05）. Conclusion The use of autologous blood storage can reduce blood transfusion, thereby reducing the adverse reactions caused by transfu- sion spread and disease, the whole blood before and after the operation is safe and effective, does not affect the pregnancy outcome in pregnant women, it is worthy of clinical use.

关 键 词：储存式自体备血 疤痕子宫孕妇 妊娠结局的影响 

分 类 号：R714[医药卫生—妇产科学]