摘要
目的了解髋关节置换术患者术中输血需求的相关因素以及输血的现状。方法收集2012年1月1日-12月31日期间在新疆医科大学第一附属医院实施单侧髋关节置换手术患者病历资料,根据患者术中是否输血分为输血组与未输血组,对患者年龄、体质量、性别、术前血红蛋白(Hb)浓度、血小板(PLT)计数、美国麻醉医师协会(ASA)分级、麻醉方式、手术时长、术中出血量及输血量、术后出血量、术后血红蛋白浓度、输血前Hb浓度、红细胞压积(Hct)的监测、术中血液回收技术的应用情况进行回顾性分析。结果输血组与未输血组在体质量、术前Hb浓度、术中出血量及手术时间的差异有统计学意义(P<0.05);所有接受髋关节置换术的患者围术期输血的比例为32.6%,输血患者平均用血量为650mL。在所有术中接受输血的患者中有24例检测了Hb浓度;2例采用了术中血液回收技术。结论体质量、术前Hb浓度、术中出血量及手术时间是影响髋关节置换术患者术中输血的的主要因素;仍有一定比例的患者术中输血前未监测Hb度和Hct,输血合理性有待改进;术中自体血回收技术在髋关节置换术中的应用需进一步推广。
Objective To investigate the relevant factors which affect unilateral hip replacement surgery pa tients intraoperative blood needs and the status quo of derwent unilateral hip replacement surgery in the First from January 1st to December 31 in the year 2012 were blood transfusion. Methods The patients who un Affiliated Hospital of Xinjiang Medical University divided into blood transfusion group and non-trans fusion group according to whether intraoperative transfusion of allogeneic blood. Patients＇s age, weight, gender, preoperative hemoglobin concentration （Hb）, platelet count, the american society of anesthesiolo gists （ASA） classification, anesthesia, surgery duration, blood loss and transfusion indicators, postopera tlve crit suits bleeding, postoperative hemoglobin concentration, the measurements of Hb concentration and hemato- （Hct）, the application of blood salvage technology were investigated and retrospectively analyzed. Re- The differences of two groups in body weight, Hb concentration, blood loss, surgery duration were statistically significant （P d0.05）. And the patients who accepted hip replacement surgery with a periop erative transfusion ratio of 32.6G, the average amount of blood transfusion was 650 mL. Only 24 patients were detected the Hb and 2 patients received autologous blood transfusion in all patients. Conclusion Weight, preoperative Hb concentration, blood loss and operative time are the factors which affect whether transfused intraoperative of hip replacement surgery patients. There is still a certain proportion of patients transfused without monitoring degree of Hb and Hct, blood transfusion rationality remains to be im proved Intraoperative autologous blood recovery technology in the application of hip replacement need to be further promoted.
出处
《新疆医科大学学报》
CAS
2013年第4期547-550,共4页
Journal of Xinjiang Medical University
关键词
术中输血
髋关节置换术
血红蛋白
intraoperative transfusion
total hip replacement
hemoglobin
