自体血回收联合白细胞过滤器在产科中的应用  

Application of autologous blood recovery combined with white blood cell filter in obstetrics

作　　者：史剑倩 SHI Jianqian(Department of Anesthesiology,Jingdezhen First People′s Hospital in Jiangxi Province,Jingdezhen 333000,China)

机构地区：[1]江西省景德镇市第一人民医院麻醉科,江西景德镇333000

出　　处：《中国现代医生》2021年第27期63-65,69,共4页China Modern Doctor

摘　　要：目的探讨剖宫产和宫外孕产妇中自体血回收联合白细胞过滤器的应用。方法回顾性选取2020年1—11月景德镇市第一人民医院麻醉科ASAⅠ~Ⅲ级,年龄22~45周岁的剖宫产和宫外孕产妇400例,依据输血方法分为按需输注库存血组(对照组,n=200)、自体血回收联合白细胞过滤器组(研究组,n=200),统计分析两组产妇的异体血输注量、术中出血量、产后24 h出血量、生命体征、不良反应发生情况。结果研究组产妇异体血输注量为(432.52±17.71)mL、产后24 h出血量为(342.58±97.27)mL,均显著少于对照组的(731.41±128.22)mL、(551.35±96.86)mL,两组比较差异有统计学意义(P<0.05);两组产妇术中出血量分别为(1103.30±137.89)mL和(1081.53±119.24)mL,两组比较差异无统计学意义(P>0.05)。两组产妇输血前、输血后1、24 h的HR、MAP、SpO2之间比较,差异无统计学意义(P>0.05)。研究组不良反应总发生率为15.00%(30/200),低于对照组的30.00%(60/200),差异有统计学意义(P<0.05)。结论剖宫产和宫外孕产妇中自体血回收联合白细胞过滤器的应用效果较按需输注库存血好。Objective To explore the application of autologous blood recovery combined with white blood cell filter in cesarean section and ectopic pregnant women.Methods A total of 400 cases of cesarean section and ectopic pregnant women aged 22 to 45 with ASAⅠ-Ⅲin the Department of Anesthesiology,Jingdezhen First People′s Hospital from January to November 2020 were collected.According to the blood transfusion method,they were divided into the on-demand blood transfusion group(control group,n=200)and the autologous blood recovery combined with white blood cell filter group(study group,n=200).The amount of allogeneic blood transfusion and intraoperative blood loss,24 h postpartum bleeding,vital signs,and adverse reactions of the two groups were statistically analysed.Results The amount of allogeneic blood transfusion(432.52±17.71)mL and 24 h postpartum blood loss(342.58±97.27)mL in the study group were significantly less than those in the control group[(731.41±128.22)mL and(551.35±96.86)mL].The difference was statistically significant(P<0.05).The intraoperative blood loss of the two groups was(1103.30±137.89)mL and(1081.53±119.24)mL,respectively,and the difference between the two groups was not statistically significant(P>0.05).There was no significant difference in HR,MAP and SpO2 between the two groups before blood transfusion,1,24 h after blood transfusion(P>0.05).The total incidence of adverse reactions in the study group was 15.00%(30/200),which was significantly lower than that of the control group[30.00%(60/200)],the difference was statistically significant(P<0.05).Conclusion The application effect of autologous blood collection combined with white blood cell filter in cesarean section and ectopic pregnant women is better than on-demand infusion of stored blood.

关 键 词：剖宫产 宫外孕 自体血回收 白细胞过滤器 按需输注库存血 异体血输注量 

分 类 号：R714[医药卫生—妇产科学]