回收式自体输血对剖宫产妇异体输血及经济效益的影响  

Effect of Intraoperative Cell Salvage on Allogeneic Blood Transfusion and Economic Benefits of Cesarean Women

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,Hubei 442000)

机构地区：[1]湖北十堰市太和医院输血科,442000

出　　处：《临床输血与检验》2020年第5期487-492,共6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：目的观察回收式自体输血对剖宫产妇异体输血及经济效益的影响。方法回顾性分析2016年1月~2018年9月某三甲医院产科收治的剖宫产妇共369例,其中ICS组252例(回收式自体输血),对照组120例(异体输血)。按照术中出血量不同对两组剖宫产妇进行区分亚组,对比各亚组中产妇异体输血情况(红细胞、血浆、血小板和冷沉淀)及经济效益(住院时间、输血费用和输血前检查费用)。结果两组产妇一般资料差异无统计学意义(P>0.05);与对照组相比,ICS组各亚组异体红细胞用量均有明显降低,ICS组失血量<1600 mL的各亚组异体红细胞及异体血浆使用率均有明显降低(P<0.05)。与对照组相比,ICS组中失血量≥800 mL的各亚组输血费用均明显降低(P<0.05)。两组间各亚组比较住院时间及输血前检查费用差异均无统计学意义(P>0.05)。结论ICS可节约剖宫产妇异体红细胞及异体血浆的使用量,降低输血费用,具有较好的经济效益。Objective To observe the effect of intraoperative cell salvage(ICS)on allogeneic blood transfusion and economic benefits of cesarean women.Methods A total of 369 cesarean women admitted to the obstetrics department of a top three hospital from January 2016 to September 2018 were retrospectively collected,including 252 cases in the ICS group and 120 cases in the control group(allogeneic blood transfusion).According to the amount of bleeding during the operation,the two groups of cesarean women were divided into subgroups.The maternal allogeneic blood transfusion(red blood cells,plasma,platelets,and cryoprecipitation)and economic benefits(time spent in hospital,blood transfusion costs,and pre-transfusion examinations)were compared in each subgroup.Results There was no significant difference in the general data between two groups(both P>0.05).Compared with the control group,the amount of allogeneic red blood cells was significantly reduced in the subgroups of the ICS group.Allogeneic red blood cells and allogeneic plasma usage are significantly reduced in the blood loss less than 1600 mL subgroups of the ICS group(all P<0.05).Compared with the control group,the blood transfusion cost of each subgroup in the ICS group with blood loss≥800 mL was significantly reduced(all P<0.05).There were no significant differences in the length of hospital stay and the cost of pre-transfusion examinations in each subgroup between the two groups(all P>0.05).Conclusion ICS can save the use of allogeneic red blood cells and allogeneic plasma in cesarean section,reduces the cost of blood transfusion,and has good economic benefits.

关 键 词：回收式自体输血 剖宫产 异体输血 经济效益 

分 类 号：R457.1[医药卫生—治疗学]