老年髋部骨折患者围术期输血的临床指征分析  

Analysis on Clinical Indication of Perioperative Blood Transfusion in Elderly Patients with Hip Fracture

作　　者：赵玲芝 夏彩艳 Zhao Lingzhi;Xia Caiyan(Blood Transfusion Department,Yuxi Municipal Hospital of Traditional Chinese Medicine,Yuxi 653100,Yunnan Province,China)

机构地区：[1]玉溪市中医院输血科,云南玉溪653100

出　　处：《中国社区医师》2023年第25期20-22,共3页Chinese Community Doctors

摘　　要：目的:分析老年髋部骨折患者围术期输血的临床指征。方法:选取2018年9月—2021年10月玉溪市中医院收治的老年髋部骨折患者500例作为研究对象,根据随机数字表法分为对照组与研究组,各250例。两组围术期均给予输血治疗,其中对照组以血红蛋白<70 g/L为输血指征,研究组以血红蛋白<100 g/L为输血指征。比较两组输血效果、输血量、血红蛋白水平,贫血纠正、切口愈合、住院时间,并发症发生情况。结果:研究组输血总有效率高于对照组,差异有统计学意义(P=0.035)。两组术中、术后输血量及输血前后血红蛋白水平比较,差异无统计学意义(P>0.05)。研究组贫血纠正时间、切口愈合时间及住院时间短于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:以血红蛋白<100 g/L作为老年髋部骨折患者围术期输血指征,能发挥更加显著的输血作用,并提高输血安全性,促进患者贫血体征改善。Objective:To analyze the clinical indication of perioperative blood transfusion in elderly patients with hip fracture.Methods:From September 2018 to October 2021,500 elderly patients with hip fractures admitted to Yuxi Municipal Hospital of Traditional Chinese Medicine were selected as the study subjects.They were divided into control group and study group according to random digital table method,with 250 cases in each group.Both groups performed blood transfusion during perioperative period.Among them,the control group used hemoglobin<70 g/L as the indication of blood transfusion,and the study group used hemoglobin<100 g/L as the indication of blood transfusion.The blood transfusion effect,blood transfusion volume,hemoglobin level,anemia correction,incision healing,length of hospital stay,and complications of the two groups were compared.Results:The total effective rate of blood transfusion in the study group was higher than that in the control group,and the difference was statistically significant(P=0.035).There were no significant differences in the amount of blood transfusion during the surgery and after surgery and hemoglobin levels before and after blood transfusion between the two groups(P>0.05).The anemia correction time,incision healing time and length of hospital stay in the study group were shorter than those in the control group,and the complication incidence in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Taking hemoglobin<100 g/L as an indication for perioperative blood transfusion in elderly patients with hip fracture can play a more significant blood transfusion role,improve the safety of blood transfusion,and promote the improvement of anemia signs in patients.

关 键 词：髋部骨折 老年 围手术期 输血指征 

分 类 号：R683[医药卫生—骨科学]