自体血回输在股骨骨折手术中的应用分析  

Application of Autologous Blood Transfusion in Femur Fracture Surgery

作　　者：马福嫣 孙贺 刘鸽 郑见 MA Fuyan;SUN He;LIU Ge;ZHENG Jian(Department of Anesthesiology,Xuzhou Renci Hospital,Xuzhou,Jiangsu Province,221000 China)

机构地区：[1]徐州仁慈医院麻醉科,江苏徐州221000

出　　处：《中外医疗》2024年第16期51-54,共4页China & Foreign Medical Treatment

摘　　要：目的 分析股骨骨折手术中自体血回输的作用。方法 方便选取徐州仁慈医院于2023年4月—2024年2月收治的82例股骨骨折手术患者为研究对象,以随机数表法分为两组,异体血输注的41例为对照组,自体血回输的41例为观察组。对比两组凝血指标、血液氧合指标及并发症。结果 手术前后,两组凝血指标比较,差异无统计学意义(P>0.05)。输血后,观察组二氧化碳分压低于对照组,氧分压高于对照组,差异有统计学意义(P均<0.05)。观察组发热发生率为2.44%,低于对照组的19.51%,差异有统计学意义(χ^(2)=4.493,P<0.05)。两组过敏、心率<50次/min、低血压、静脉血栓发生率比较,差异无统计学意义(P均>0.05)。结论 股骨骨折手术中自体血回输可改善血液氧合功能,降低输血后发热率,且不会引发凝血异常,安全性较高。Objective To analyze the effect of autologous blood transfusion in femur fracture operation.Methods A total of eighty-two patients with femoral fracture surgery admitted to Xuzhou Renci Hospital from April 2023 to February 2024 were conveniently selected as the study objects and divided into two groups by random number table method.The control group was forty-one cases with allogeneic blood transfusion,and the observation group was forty-one cases with autologous blood transfusion.Blood coagulation index,blood oxygenation index and complications were compared between the two groups.Results Before and after operation,there was no statistically significant difference in coagulation indexes between the two groups(P>0.05).After blood transfusion,the carbon dioxide fraction of the observation group was lower than that of the control group,and the oxygen partial pressure was higher than that of the control group,the differences were statistically significant(both P<0.05).The incidence of fever in the observation group was 2.44%,which was lower than 19.51%in the control group,and the difference was statistically significant(χ^(2)=4.493,P<0.05).There was no statistically significant difference in the incidence of allergy,heart rate<50 beats/min,hypotension and venous thrombosis between the two groups(all P>0.05).Conclusion Autologous blood transfusion during femur fracture surgery can improve blood oxygenation function,reduce the fever rate after transfusion,and does not cause coagulation abnormalities.

关 键 词：自体血回输 异体血输注 股骨骨折 凝血指标 并发症 

分 类 号：R68[医药卫生—骨科学]