CAJ | 학술논문

目的：探讨3种不同方法在双膝关节同期置换围手术期血液管理中的应用效果。方法：选取2013年5月至2014年3月接受双膝关节同期置换手术治疗的患者37例，14例A组患者采用急性等容血液稀释联合术后自体血回收，11例B组患者采用单纯术后自体血回收，12例C组患者采用单纯术后引流管引流，比较三组患者术后急性失血量及异体血输注量。结果：三组患者术前、术后即刻、术后6h血红蛋白及红细胞比容有变化；A组急性失血量（145．30±37．60）mL、异体血输注量（721．80±186．30）mL与B组急性失血量（192．00±50．60）mL、异体血输注量（586．40±148．50）mL明显低于C组急性失血量（423．00±112．40）mL、异体血输注量（1076．10±286．40）mL，三组有显著性差异，差异具有统计学意义（P＜0．05）。结论：急性等容血液稀释联合术后自体血回收及单纯术后自体血回收均可减少异体血输注，且前者减少术后急性失血量更有优势。
목적：탐토3충불동방법재쌍슬관절동기치환위수술기혈액관리중적응용효과。방법：선취2013년5월지2014년3월접수쌍슬관절동기치환수술치료적환자37례，14례A조환자채용급성등용혈액희석연합술후자체혈회수，11례B조환자채용단순술후자체혈회수，12례C조환자채용단순술후인류관인류，비교삼조환자술후급성실혈량급이체혈수주량。결과：삼조환자술전、술후즉각、술후6h혈홍단백급홍세포비용유변화；A조급성실혈량（145．30±37．60）mL、이체혈수주량（721．80±186．30）mL여B조급성실혈량（192．00±50．60）mL、이체혈수주량（586．40±148．50）mL명현저우C조급성실혈량（423．00±112．40）mL、이체혈수주량（1076．10±286．40）mL，삼조유현저성차이，차이구유통계학의의（P＜0．05）。결론：급성등용혈액희석연합술후자체혈회수급단순술후자체혈회수균가감소이체혈수주，차전자감소술후급성실혈량경유우세。
Objective:To discuss the application effect of three different methods in the same period double knee joint replacement perioperative blood management .Method:Selected 37 cases of patients with the double knee in the same period joint replacement surgery treatment from May 2013 to March 2014 in our hospital ,14 cases of group A were treated by acute isovolumetric hemodilution combined autologous blood re-covery after surgery , 11 cases of group B were treated by simple autologous blood recovery after surgery , 12 cases of group C were treated by simple postoperative drainage tube drainage , to compare three groups of pa-tients with postoperative acute blood loss and allogeneic blood transfusion .Result: Three groups of patients with hemoglobin and red blood cell volume on preoperative , postoperative immediate and 6 hours after opera-tion were changed;Acute blood loss of group A was (145.30 ±37.60) mL, homologous blood transfusion was (721.80 ±186.30 )mL and acute blood loss of B group was (192 ±50.60) mL,homologous blood transfusion was (586.40 ±148.50) mL were significantly lower than group C of acute blood loss ( 423 ± 112.40) mL, homologous blood transfusion (1076.10 ±286.40) mL, it had significant difference between three groups, the difference had statistical significance (P<0.05).Conclusion: Acute normovolemic he-modilution combined with postoperative autologous blood recovery and the postoperative autologous blood re -covery can reduce allogeneic blood transfusion , and it has more advantages in reducing postoperative acute blood loss .