中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
9期
78-79
,共2页
膝关节置换%自体血回输器%应用及效果评价
膝關節置換%自體血迴輸器%應用及效果評價
슬관절치환%자체혈회수기%응용급효과평개
Total knee arthroplasty%Autologous blood transfusion device%The applications and effect evaluation
目的：探讨自体血回输器在人工全膝关节置换术后的应用及效果。方法：选取2011年3月-2013年8月在笔者所在医院行人工全膝关节置换术患者132例，其中试验组(A组)72例采用自体血回输器，对照组(B组)60例采用普通引流袋。比较两组患者术后总引流量；两组患者术前、术后第1天血红蛋白的变化；记录所有输血反应情况。结果：术后A组引流血量(638.5±285.6)ml，B组引流血量(655.6±307.7)ml，两组患者术后总引流量比较，差异无统计学意义(P>0.05)。两组患者术前、术后第1天血红蛋白比较差异无统计学意义(P>0.05)。A组术后有14例接受异体血输入， B组术后48例接受异体血输入。所有自体血回输均未出现输血反应，异体血输血过程中有3例出现皮疹，1例出现发热，对症处理后均消退。结论：应用自体血回输器能够明显减少异体血输入量，降低对异体血的需要，可减少因输入异体血导致的并发症的发生。自体血回输虽无法完全纠正术后患者贫血症状，但它可以减少输入异体血的机会。因此，在异体血血源紧张的情况下，应用自体血回输器回输自体血是一种有效可行的方法。
目的：探討自體血迴輸器在人工全膝關節置換術後的應用及效果。方法：選取2011年3月-2013年8月在筆者所在醫院行人工全膝關節置換術患者132例，其中試驗組(A組)72例採用自體血迴輸器，對照組(B組)60例採用普通引流袋。比較兩組患者術後總引流量；兩組患者術前、術後第1天血紅蛋白的變化；記錄所有輸血反應情況。結果：術後A組引流血量(638.5±285.6)ml，B組引流血量(655.6±307.7)ml，兩組患者術後總引流量比較，差異無統計學意義(P>0.05)。兩組患者術前、術後第1天血紅蛋白比較差異無統計學意義(P>0.05)。A組術後有14例接受異體血輸入， B組術後48例接受異體血輸入。所有自體血迴輸均未齣現輸血反應，異體血輸血過程中有3例齣現皮疹，1例齣現髮熱，對癥處理後均消退。結論：應用自體血迴輸器能夠明顯減少異體血輸入量，降低對異體血的需要，可減少因輸入異體血導緻的併髮癥的髮生。自體血迴輸雖無法完全糾正術後患者貧血癥狀，但它可以減少輸入異體血的機會。因此，在異體血血源緊張的情況下，應用自體血迴輸器迴輸自體血是一種有效可行的方法。
목적：탐토자체혈회수기재인공전슬관절치환술후적응용급효과。방법：선취2011년3월-2013년8월재필자소재의원행인공전슬관절치환술환자132례，기중시험조(A조)72례채용자체혈회수기，대조조(B조)60례채용보통인류대。비교량조환자술후총인류량；량조환자술전、술후제1천혈홍단백적변화；기록소유수혈반응정황。결과：술후A조인류혈량(638.5±285.6)ml，B조인류혈량(655.6±307.7)ml，량조환자술후총인류량비교，차이무통계학의의(P>0.05)。량조환자술전、술후제1천혈홍단백비교차이무통계학의의(P>0.05)。A조술후유14례접수이체혈수입， B조술후48례접수이체혈수입。소유자체혈회수균미출현수혈반응，이체혈수혈과정중유3례출현피진，1례출현발열，대증처리후균소퇴。결론：응용자체혈회수기능구명현감소이체혈수입량，강저대이체혈적수요，가감소인수입이체혈도치적병발증적발생。자체혈회수수무법완전규정술후환자빈혈증상，단타가이감소수입이체혈적궤회。인차，재이체혈혈원긴장적정황하，응용자체혈회수기회수자체혈시일충유효가행적방법。
Objective:To study the applications and effect of autologous blood transfusion device in total knee replacement postoperative.Method:132 cases of total knee arthroplasty in our hospital from March 2011 to August 2013 were selected,the experimental group(group A) 72 cases of autologous blood transfusion device,the control group(group B) 60 cases using ordinary drainage bag.To compare the total postoperative drainage,the preoperative and postoperative(the first day) in the two groups with the changes in hemoglobin,and record all the transfusion reactions.Result:The Postoperative drainage of blood was (638.5±285.6) ml in group A,and (655.6±307.7)ml in group B.Comparing the total postoperative drainage with the two groups,the difference was no statistically significant(P>0.05).Comparing the preoperative and postoperative(the first day) in the two groups with the changes in hemoglobin,the difference was no statistically significant (P>0.05).14 patients had received postoperative allogeneic blood input in group A,and 48 patients in group B.There were not blood transfusion reactions in autologous blood transfusion,however,there were 3 cases of rash and 1 case of fever in allogeneic blood transfusion which had subsided after the symptomatic treatment.Conclusion:The applications of autologous blood transfusion is able to significantly reduce the amount of allogeneic blood input,reduce the need for allogeneic blood,and reduce the chance of complication in allogeneic blood transfusion.Although it cannot completely correct anemia symptoms in postoperative patients,the autologous blood transfusion can reduce allogeneic blood opportunities.Therefore,in the allogeneic blood tense circumstances,the application of autologous blood transfusion is an effective and feasible approach.
