初次全髋关节置换术患者围手术期输血危险因素的研究进展  

Research progress of risk factors for perioperative blood transfusion in patients undergoing primary total hip arthroplasty

作　　者：臧晗 许力[1] ZANG Han XU Li;ZANG Han;XU Li(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&PekingUnion Medical College,Beijing100730,China)

机构地区：[1]中国医学科学院北京协和医学院,北京协和医院麻醉科,北京100730

出　　处：《中国医药导报》2024年第16期194-196,共3页China Medical Herald

基　　金：中央高水平医院临床科研业务费资助项目(2022-PUMCH-B-119)。

摘　　要：围手术期输血在全髋关节置换术中非常普遍,受术前、术中,及术后多种因素影响。异体血液输注已被证实与多种不良结局相关,尽管临床医师已提高对全髋关节置换术围手术期血液管理的认识,但输血率仍居高不下。近年来,随着研究的不断深入,越来越多围手术期输血的危险因素被阐明,使早期预防和干预成为可能。本文总结初次全髋关节置换术患者围手术期输血的危险因素,旨在为临床医师优化初次全髋关节置换术围手术期血液管理提供思路和帮助,改善患者预后。Perioperative blood transfusion is very common in total hip arthroplasty,it is influenced by a variety of preoperative,intraoperative,and postoperative factors.Allogeneic blood transfusion has been shown to be associated with a variety of adverse outcomes,although clinicians have increased their awareness of perioperative blood management in total hip arthroplasty,transfusion rates remain high.In recent years,with increasing research,more and more risk factors for perioperative blood transfusion have been clarified,making early prevention and intervention possible.This article summarizes risk factors for perioperative blood transfusion in patients undergoing primary total hip arthroplasty,aims to provide ideas and assistance for clinicians in optimizing perioperative blood management undergoing primary total hip arthroplasty,and improve prognosis of patients.

关 键 词：全髋关节置换术 围手术期输血 危险因素 血液管理 

分 类 号：R457[医药卫生—治疗学]