膝关节手术患者临床用血分析  

Investigation and analysis of blood transfusion for clinical patients with knee surgery

作　　者：罗圆圆[1] 陈麟凤[1] 马春娅[1] 张晓娟[1] 付丽辉[1] 王可[1] 封彦楠 汪德清[1] LUO Yuanyuan CHEN Linfeng MA Chunya ZHANG Xiaojuan FU Lihui WANG Ke FENG Yannan WANG Deqing.(Department of Transfusion, PLA General Hospital, Beijing 100853, China)

机构地区：[1]解放军总医院输血科,北京100853

出　　处：《中国输血杂志》2017年第1期48-50,共3页Chinese Journal of Blood Transfusion

摘　　要：目的了解本院骨科膝关节手术用血情况,为临床合理用血提供依据。方法回顾性分析2015年上半年在本院行膝关节手术接受输血的181例患者的临床资料。分析成分血及自体血使用情况,及对输血相关因素如性别、血型、年龄、凝血指标和住院天数等进行统计学分析。结果 181例患者女性较多为141例,AB型患者最少,不同性别和血型与平均输血量比较,差异均无统计学意义(P>0.05)。平均输血量与手术类型和年龄有显著相关性(P<0.05),双膝置换较单膝手术用血量大,50-70岁年龄段平均输血量最大。备自体血患者输血后RBC、Hb和Hct值较输血前有所下降但均在正常值范围内。未输血浆患者术后凝血指标均正常,随着输血总量的增加,平均住院天数增多。结论年龄和手术类型与平均输血量有明显的相关性,我们应严格把握输血适应症,选择安全节约的用血方式。Objective To understand the situation on blood transfusion during orthopedic knee surgery and to provide a reasonable basis for the clinical use of blood. Methods In the first half of 2015 in our hospital,181 cases of knee surgical patients who received blood transfusion screening were retrospectively analyzed. An analysis was conducted on the usage of blood components and autologous blood. Related factors,such as gender,blood type,age,length of hospital stay and coagulation indices,were statistically analyzed. Results Among 181 cases of patients,women accounted for 141. AB patients constituted the least numbers. Gender and blood group played no statistically significant difference on blood use（ P〉0. 05）.The average amount of blood transfusion significantly correlated with the type of surgery and age（ P〈0. 05）. Blood transfusion mostly involved more than the knee during knee surgeries. The 50-70 age group used the largest average amount of blood transfusion. After autologous blood transfusion in patients with RBC,Hb and Hct value,these values decreased compared with that before transfusion,but were within normal range. Coagulation indices were normal after surgery,with a notable increase in the total amount of blood transfusion and an increase in the number of average days of hospitalization. Conclusion Age and type of surgery are correlated with the average amount of blood transfusion. Blood transfusion indications should be strictly monitored,in order to choose a safe way to save blood resources.

关 键 词：膝关节手术 输血 合理用血 自体输血 

分 类 号：R457.1[医药卫生—治疗学]