CAJ | 학술논문

目的：观察和比较全膝关节表面置换术后采用两种不同输血方式对患者术后体温的影响。方法：回顾性分析接受膝关节表面置换术的膝关节骨关节炎患者31例。根据术后输血方式不同分为两组：A组接受同种异体血回输,B组接受自体引流血回输。比较两组患者术后不同时点(2小时、6小时、24小时、48小时、72小时、4天、5天、6天、7天、8天、9天、10天、11天、12天、13天、14天)的体温以及手术前后的血常规变化。结果：两组患者术后体温均于6小时开始升高,A组术后48小时达到最高峰,术后4天恢复正常, B组术后24小时达到最高峰,术后48小时基本恢复正常；A组术后48小时体温明显高于B组(P<0.05)且A组患者术后发热持续时间明显多于B组(P<0.05)。 B组输血后24小时的红细胞和血红蛋白值高于A组(P<0.05)。结论：和同种异体血输血相比,自体血引流回输可以减少全膝关节表面置换术后的发热反应和促进患者的血容量恢复。
목적：관찰화비교전슬관절표면치환술후채용량충불동수혈방식대환자술후체온적영향。방법：회고성분석접수슬관절표면치환술적슬관절골관절염환자31례。근거술후수혈방식불동분위량조：A조접수동충이체혈회수,B조접수자체인류혈회수。비교량조환자술후불동시점(2소시、6소시、24소시、48소시、72소시、4천、5천、6천、7천、8천、9천、10천、11천、12천、13천、14천)적체온이급수술전후적혈상규변화。결과：량조환자술후체온균우6소시개시승고,A조술후48소시체도최고봉,술후4천회복정상, B조술후24소시체도최고봉,술후48소시기본회복정상；A조술후48소시체온명현고우B조(P<0.05)차A조환자술후발열지속시간명현다우B조(P<0.05)。 B조수혈후24소시적홍세포화혈홍단백치고우A조(P<0.05)。결론：화동충이체혈수혈상비,자체혈인류회수가이감소전슬관절표면치환술후적발열반응화촉진환자적혈용량회복。
Objective To observe and compare postoperative body temperature in end-stage knee osteoarthritis pa-tients which underwent two different blood transfusion methods after total knee arthroplasty. Method 31 patients un-derwent total knee arthroplasty were divided into two groups according to the difference of postoperative blood trans-fusion methods. Patients in group A accepted allogeneic blood transfusion. Patients in group B accepted autologous blood salvage. We recorded and compare body temperature and the value of haemoglobin( HB) ,red blood corpuscle (RBC)and white blood corpuscle(WBC)in different time. Result Postoperative 48H body temperature of patients in group A was higher than those in group B. The lasting time of abnormal postoperative body temperature in group A was more than those in group B. The value of postoperative 24H RBC and HB of patients in group B was superior to those in group A. Conclusion Autologous blood salvage after total knee arthroplasty could decrease the postoperative pyrogenetic reaction and improve the blood volume compared to allogeneic blood transfusion.