术中自体血回输联合术后自体引流血回输在腰椎手术中的应用  

Application of Intraoperative Blood Salvage Combined with Reinfusion of Postoperative Drainage in Lumbar Spine Surgery

作　　者：周强[1] 王顺[1] ZHOU Qiang;Shun Wang(Department of blood transfusion ,Wu Han NO. 1.Hospital ,Wuhan)

机构地区：[1]武汉市第一医院,430022

出　　处：《临床输血与检验》2017年第5期426-429,共4页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：湖北省卫生计生委采供血专项项目(No.WJ2015CB006)资助

摘　　要：目的探讨术中自体血回输联合术后自体引流血回输在腰椎手术中的应用。方法将115例腰椎手术患者分为2组:对照组(73例)和观察组(42例),对照组实施术中自体血回输,观察组实施术中自体血回输联合术后自体引流血回输。于术前1 d、术后3 d和7 d监测患者血红蛋白浓度,并记录所有患者术中出血量、术中回输量以及异体输血量,观察组还需记录术后引流量、术后回输量。统计2组患者术中和术后异体输血的例数。结果观察组异体输血量低于对照组(P<0.05),而2组术中出血量、术中回输量、术中和术后异体输血例数、术前和术后的血红蛋白浓度的差异均无统计学意义(P>0.05)。结论在腰椎手术中应用术中自体血回输联合术后自体引流血回输可以明显降低异体输血量,但不能减少异体输血例数。Objective To investigate the application of intraoperative blood salvage combined with reinfusion of postoperative drainage in lumbar spine surgery.Methods115cases of lumbar spine surgery were divided into two groups:control group(73cases)and observation group(42cases).The control group received intraoperative blood salvage,and the observation group received intraoperative blood salvage combined with reinfusion of postoperative drainage.Hemoglobin concentration was monitored respectively1day before surgery,3days and7days after surgery.All patients were recorded for intraoperative blood loss,intraoperative return volume,and allogeneic blood transfusion.The observation group was also recorded in postoperative drainage volume and postoperative return volume.The number of allogeneic blood transfusion during operation and postoperative was statistically analyzed.Results The amount of blood transfusion in observation group was lower than that in control group(P<0.05).There was no significant difference in blood loss,intraoperative return volume,the number of allogeneic blood transfusion,hemoglobin concentration before and after operation(P>0.05).C o n c l u s i o n Intraoperative blood salvage combined with reinfusion of postoperative drainage can significantly reduce the amount of allogeneic blood transfusion,but can not reduce the number of allogeneic blood transfusion.

关 键 词：术中自体血回输 术后自体引流血回输 腰椎手术 应用 

分 类 号：R457.1[医药卫生—治疗学] R681.57[医药卫生—临床医学]