回收式自体输血在创伤骨科患者中的应用效果及对深静脉血栓形成的影响  

Effectiveness of Recycled Autologous Blood Transfusion in Traumatized Orthopedic Patients and its Effect on Deep Venous Thrombosis

作　　者：刘向华 LIU Xianghua(Medical Department,Putian Institute of Medical Science,Putian,Fujian Province,351100 China)

机构地区：[1]莆田市医学科学研究所医务室,福建莆田351100

出　　处：《中外医疗》2023年第11期25-29,共5页China & Foreign Medical Treatment

摘　　要：目的探讨回收式自体输血在创伤骨科患者中的应用效果及对深静脉血栓(deep venous thrombosis,DVT)形成的影响。方法随机选取2021年1月—2022年2月莆田市医学科学研究所医务室收治的80例创伤骨科患者为研究对象,随机分成观察组与对照组,每组40例,术中均给予两组输血,对照组采取同种异体血,观察组采取回收式自体输血,比较两组治疗效果。结果术前两组红细胞、血红蛋白含量比较,差异无统计学意义(t=0.142、0.089,P>0.05),术后,两组红细胞与血红蛋白水平低于术前,差异有统计学意义(P<0.05),但两组术后水平比较,差异无统计学意义(P>0.05)。术后对照组SjvO_(2)、CEO_(2)、Lac、C(a-jv)O_(2)含量分别为(70.26±11.45)%、(30.01±9.15)%、(1.26±0.24)mmol/L、(370.02±134.48)mL/L,观察组分别为(76.15±11.12)%、(34.52±8.56)%、(1.01±0.18)mmol/L、(305.25±131.14)mL/L,观察组优于对照组,差异有统计学意义(P<0.05)。观察组术后有1例DVT(2.50%),对照组有6例(15.00%),但两组比较差异无统计学意义(χ^(2)=2.505,P=0.113)。结论应用回式自体输血干预创伤骨科患者的效果满意,可明显降低术后DVT形成率。Objective To investigate the effect of recycled autologous blood transfusion on traumatized orthopedic patients and its effect on deep venous thrombosis(DVT)formation.Methods 80 orthopedic trauma patients admitted to the medical clinic of Putian Institute of Medical Sciences from January 2021 to February 2022 were random selected as the research subjects.They were randomly divided into an observation group and a control group,with 40 patients in each group.Both groups were given blood transfusions during surgery,with the control group receiving allogeneic blood and the observation group receiving recovered autologous blood transfusion.The treatment effects of the two groups were compared.Results There was no statistically significant difference in the levels of red blood cells and hemoglobin between the two groups before surgery(t=0.142,0.089,P>0.05).After surgery,the levels of red blood cells and hemoglobin between the two groups were lower than before surgery,the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the levels between the two groups after surgery(P>0.05).The postoperative SjvO_(2),CEO_(2),Lac,and C(a-jv)O_(2) levels in the control group were(70.26±11.45)%,(30.01±9.15)%,(1.26±0.24)mmol/L,and(370.02±134.48)mL/L,respectively.The observation group was(76.15±11.12)%,(34.52±8.56)%,(1.01±0.18)mmol/L,and(305.25±131.14)mL/L,respectively.The observation group was better than the control group,and the difference was statistically significant(P<0.05).There was 1 case of DVT(2.50%)in the observation group after surgery,and 6 cases(15.00%)in the control group,but there was no statistically significant difference between the groups(χ^(2)=2.505,P=0.113).Conclusion The application of recurrent autologous blood transfusion in the intervention of traumatic orthopedic patients has a satisfactory effect and can significantly reduce the incidence of postoperative DVT formation.

关 键 词：回收式自体输血 创伤骨科 脑氧代谢 深静脉血栓 影响 

分 类 号：R4[医药卫生—临床医学]