血液回收技术在腰椎手术中的应用  

Application of Blood Recovery Technology in Lumbar Surgery

作　　者：周艳 花恒 许娟 ZHOU Yan;HUA Heng;XU Juan(Department of Anesthesiology,Liuhe District People＇s Hospital,Nanjing,Jiangsu Province,211500 China)

机构地区：[1]南京市六合区人民医院麻醉科,江苏南京211500

出　　处：《中外医疗》2018年第28期63-64,共2页China & Foreign Medical Treatment

摘　　要：目的探讨腰椎手术中应用血液回收技术进行自体输血的临床效果。方法方便选取2017年4月—2018年4月该院收治的40例腰椎手术患者为研究对象,随机分为两组。实验组20例,患者术中采用血液回收技术进行自体输血;对照组20例,患者术中行异体输血。对比观察两组库血输入量。结果实验组库血输入率(35.0%)低于对照组(100.0%),平均库血输入量(160±75)mL少于对照组(450±110)mL,差异有统计学意义(χ~2=17.46,P<0.05;t=22.53,P<0.05)。结论腰椎手术中基于血液回收技术予以患者自体血液回输是安全有效补充失血的方法 ,可有效减少异体血用量,对缓解血源短缺、保证临床用血安全具有积极作用,值得临床推广使用。Objective To investigate the clinical effect of blood transfusion technique in autologous blood transfusion in lumbar spine surgery. Methods Forty patients with lumbar spine surgery admitted to the hospital from April 2017 to April 2018 were convenient selected and randomly divided into two groups. In the experimental group, 20 patients were treated with blood recovry technique for autologous blood transfusion; 20 patients in the control group were treated with allogeneic blood transfusion. The blood input of the two groups was compared and observed. Results The blood input rate of the experimental group（35.0%） was lower than that of the control group （100.0%）, and the average blood input volume （160±75）mL was lower than that of the control group （450±110）mL. The difference was statistically significant （X^2=17.46, P〈0.05; t= 22.53, P〈0.05）. Conclusion In the lumbar spine surgery, the patient＇s autologous blood return is a safe and effective method to supplement blood loss based on blood recovery technology. It can effectively reduce the amount of allogeneic blood, has a positive effect on relieving blood shortage and ensuring clinical blood safety, and is worthy of clinical promotion.

关 键 词：腰椎手术 血液回收 自体输血 异体输血 输血量 应用效果 

分 类 号：R687[医药卫生—骨科学]