回收式自体输血在某院剖宫产手术中的应用分析  

Application of Intraoperative Cell Salvage during Cesarean Section in a Hospital

作　　者：王瑞含 范金波[1] 周国均[1] 刘久波[1] WANG Rui-han;FAN Jin-bo;ZHOU Guo-jun(Department of Blood Transfusion,Taihe Hospital,Shiyan,Hubei 442000)

机构地区：[1]十堰市太和医院输血科,442000

出　　处：《临床输血与检验》2020年第4期380-383,共4页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：湖北省卫生健康委2019年输血专项重点项目(No.WJ2019H344)资助。

摘　　要：目的回顾性分析某三甲医院近年来回收式自体输血(intraoperative cell salvage,IOCS)及异体输血的使用情况,评估IOCS对异体输血的影响及其在某三甲医院剖宫产手术中的应用现状。方法统计2015年1月~2018年12月某三甲医院剖宫产妇共8188例,比较未实施期(2015年1月~2016年8月,未开展IOCS)与实施期(2016年9月~2018年12月,开展IOCS)异体血使用情况;并比较实施期每月IOCS使用率与术中自体血回输率变化。结果实施期平均异体红细胞用量、异体血浆用量明显低于未实施期(P均<0.05),实施期2016年、2017年、2018年的平均年龄、前置胎盘、既往剖宫产史比例及IOCS使用率逐年升高,但IOCS回输率无明显变化。结论近年来IOCS在临床剖宫产手术中的应用,降低了异体血需求量,其临床适应症选择方面还存在提高和改进的空间。Objective To retrospectively analyze the use of intraoperative cell salvage(IOCS)and allogeneic blood transfusion in a tertiary hospital,and to evaluate effect of IOCS on allogeneic blood transfusion and its application in cesarean section.Methods A total of 8188 cesarean section cases from January 2015 to December 2018 were collected in a tertiary hospital.Allogeneic blood usage in non-implementation period(IOCS not applied from January 2015 to August 2016)was compared with that in implementation period(IOCS applied from September 2016 to December 2018).The monthly IOCS use rate was compared with autologous blood transfusion rate during surgery in the implementation period.Results The average number of allogeneic red blood cell units and dose of allogeneic plasma during implementation period were significantly lower than those during non-implementation period(P<0.05).During implementation period,the average age,placenta praevia,previous cesarean section rate,and IOCS usage increased year-over-year in 2016,2017,and 2018,but the reinfused rate of IOCS did not change.Conclusion In recent years,the application of IOCS in cesarean section has reduced the demand for allogeneic blood transfusion,and there is still room for improvement in clinical indication selection.

关 键 词：回收式自体输血 剖宫产术 异体输血 

分 类 号：R457.1[医药卫生—治疗学]