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作 者:严冰[1] 于品仙 严超怡 梁欣[1] YAN Bing;YU Pinxian;YAN Chaoyi(Zhanjiang Central People’s Hospital,Zhanjiang 524045,China)
出 处:《华夏医学》2020年第5期101-104,共4页Acta Medicinae Sinica
摘 要:目的:分析急性等容量血液稀释和自体血回输联合控制性降压对全髋关节置换术血液保护的效果。方法:选取行全髋关节置换术93例患者随机分为两组,对照组46例行急性等容量血液稀释联合自体血回输,研究组47例行急性等容量血液稀释、自体血回输联合控制性降压,分析两组血压、心率指标,观察两组出血量、异体输血和尿量。结果:研究组围手术期的中心静脉压变化优于对照组(P<0.05);研究组的异体输血率为2.13%,低于对照组17.39%,研究组尿量、出血量均优于对照组(P<0.05)。结论:急性等容量血液稀释、自体血回输联合控制性降压在全髋关节置换术血液保护中效果较好。Objective:To analyze the effect of acute equal volume hemodilution and autologous blood transfusion combined with controlled hypotension on blood protection of total hip arthroplasty.Methods:The data of 93 patients undergoing total hip replacement were selected and randomly divided into two groups.The control group received 46 patients undergoing acute isometric hemodilution and autologous blood transfusion and the study group received 47 patients given the acute equal volume hemodilution,autologous blood transfusion combined with controlled hypotension,then analyzed blood pressure,heart rate indexes,the bleeding volume,allogeneic blood transfusion and urine volume of the two groups.Results:The perioperative change of central venous pressure in the study group was better than that in the control group(P<0.05),the rate of allogeneic blood transfusion in the study group was 2.13%,which was lower than that in the control group 17.39%.The urine volume and bleeding amount in the study group was superior to the control group(P<0.05).Conclusion:Acute equal volume hemodilution and autologous blood transfusion combined with controlled hypotension has a significant effect in blood protection of total hip arthroplasty.
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