术中加温输血对术后静脉血栓发生及认知恢复的影响  

The effects of warming blood transfusion on venous thromboembolism and cognitive recovery

作　　者：俞一瑾[1] 倪新莉[2] 

机构地区：[1]浙江大学医学院附属邵逸夫医院,浙江杭州310016 [2]宁夏医科大学总医院,银川750004

出　　处：《浙江医学教育》2016年第6期44-46,50,共4页Zhejiang Medical Education

基　　金：宁夏回族自治区科技攻关计划宁陕合作项目(2012)

摘　　要：目的:探讨术中加温输血对术后静脉血栓发生及认知恢复的影响。方法:选择全麻下择期行髋膝关节置换术150例,随机分为输血加温组和对照组。术后评估血栓事件发生率;用简易智力状况检查法(MMSE)评估术后1、3、7天的认知功能恢复率。结果:术后2组血栓事件发生率差异无统计学意义(P>0.05)。加温组发生肺动脉血栓1例,下肢深静脉血栓3例;对照组发生下肢深静脉血栓2例。2组认知恢复率差异无统计学意义(P>0.05)。结论:术中少量输血加温对术后静脉血栓发生及认知恢复无明显影响。[ Objective] To investigate the effect of intraoperative wanning blood transfusion on venous thromboembolism and cognitive recovery. [ Method] 150 patients undergoing selective hip or knee arthroplasty were divided into blood transfusion wanning group and control group. Occurence rate of thrombotic events were assessed postoperatively. Cognitive recovery rates on postoperative 1d, 3d and 7d were assessed by MMSE. [Result] There was no significant difference of thrombotic events between two groups（ P 〉 0.05）. One case of pulmonary thrombocmbolism and three cases of deep venous thrombosis occurred in warming group. Two cases of deep venom thrombosis occurred in control group. There was no significant difference of cognitive recovery between two groups（ P 〉 0.05）. [ Conclusion] Introperative small amount of wanning blood transfusion had no significant effect on thromboembolism and cognitive recovery.

关 键 词：加温输血 静脉血栓 认知恢复 

分 类 号：R473.6[医药卫生—护理学]