回收式与稀释式自体血回输在凶险性前置胎盘剖宫产中的应用  

Application of salvaged autologous blood transfusion and hemodilution autologous blood transfusion in cesarean section of dangerous placenta previa

作　　者：马晓丽[1] 李莲英[1] MA Xiao-Li;LI Lian-Ying(Gansu Provincial Maternity and Child-care Hospital, Lanzhou, Gansu 730050, Chin)

机构地区：[1]甘肃省妇幼保健院,甘肃兰州730050

出　　处：《中国妇幼保健》2017年第24期6094-6097,共4页Maternal and Child Health Care of China

基　　金：甘肃省科技支撑项目(1104KFCA139)

摘　　要：目的分析回收式与稀释式自体血回输在凶险性前置胎盘剖宫产中的应用。方法 120例凶险性前置胎盘患者均接受剖宫产手术,其中回收式自体血回输组60例(回收组),稀释式自体血回输组60例(稀释组)。比较两组血流动力学、血液指标、脐动脉血p H值、新生儿5 min Apgar评分及并发症发生情况。结果治疗前后血流动力学比较差异无统计学意义(P>0.05)。两组血小板计数(PLT)、血细胞比容(Hct)、血红蛋白(Hb)、纤维蛋白原(Fg)、活化部分凝血酶原时间(APTT)、凝血酶原时间(PT)等与治疗前比较差异无统计学意义(P>0.05);两组PLT、Hct、Hb、Fg较治疗前显著降低,但组间比较差异无统计学意义(P>0.05),APTT、PT均于治疗后上升,但组间比较差异无统计学意义(P>0.05)。回收组并发症发生率低于稀释组(P<0.05)。结论回收式和稀释式自体血回输均为有效的输血方式,但回收式的灵活性更高,且并发症相对较少,适应指征更为广泛。Objective To analyze the application of salvaged autologous blood transfusion and hemodilution autologous blood transfusion in cesarean section of dangerous placenta previa.Methods A total of 120 patients with dangerous placenta previa underwent cesarean section,including 60 patients treated by salvaged autologous blood transfusion （salvaged autologous blood transfusion group） and 60 patients treated by hemodilution autologous blood transfusion （hemodilution autologous blood transfusion group）.Hemodynamic parameters,blood parameters,umbilical arterial blood pH values,neonatal Apgar scores,and complications in the two groups were compared.Results There was no statistically significant difference in hemodynamic parameters,blood platelet count （PLT）,haematocrit （Hct）,hemoglobin （Hb）,fibrinogen （Fg）,activated partial thromboplastin time （APTT）,and prothrombin time （PT） between before and after treatment in the two groups （P〉0.05）.Compared with before treatment,PLT,Hct,Hb,and Fg after treatment in the two groups decreased significantly,but there was no statistically significant difference between the two groups （P〉0.05）.Compared with before treatment,APTT and PT after treatment in the two groups increased,but there was no statistically significant difference between the two groups （P〉0.05）.The incidence rate of complications in salvaged autologous blood transfusion group was statistically significantly lower than that in hemodilution autologous blood transfusion group （P〈0.05）.Conclusion Both salvaged autologous blood transfusion and hemodilution autologous blood transfusion are effective transfusion methods,but the flexibility of salvaged autologous blood transfusion is higher,the complications are less,and the indications are more wider.

关 键 词：凶险性前置胎盘剖宫产 回收式自体血回输 稀释式自体血回输 

分 类 号：R714.4[医药卫生—妇产科学]