CAJ | 학술논문

目的评价自体血回收-回输术用于脊柱侧凸术的效能.方法 2007年8月-2013年11月在全麻下行脊柱侧凸手术患者677例,性别不限,年龄7～64岁,体重20 ～ 83 kg,按照术中是否进行自体血回收-回输术将其分为2组:对照组(C组,n=474)和自体血回收-回输术组(WR组,n=203).采用卡钳法进行倾向值匹配后,181对患者的资料匹配成功.记录术中和术后的异体红细胞和血浆输注量及围术期输血相关费用.结果与C组比较,WR组术中异体红细胞输注量减少,围术期输血相关费用增加(P＜0.05),围术期异体红细胞和血浆输注量差异无统计学意义(P＞0.05).结论自体血回收-回输术用于脊柱侧凸术虽然可减少术中异体红细胞输注量,但无法减少围术期异体输血量,又会增加围术期输血相关费用,因此没有显著的临床价值.
목적 평개자체혈회수-회수술용우척주측철술적효능.방법 2007년8월-2013년11월재전마하행척주측철수술환자677례,성별불한,년령7～64세,체중20 ～ 83 kg,안조술중시부진행자체혈회수-회수술장기분위2조:대조조(C조,n=474)화자체혈회수-회수술조(WR조,n=203).채용잡겸법진행경향치필배후,181대환자적자료필배성공.기록술중화술후적이체홍세포화혈장수주량급위술기수혈상관비용.결과 여C조비교,WR조술중이체홍세포수주량감소,위술기수혈상관비용증가(P＜0.05),위술기이체홍세포화혈장수주량차이무통계학의의(P＞0.05).결론 자체혈회수-회수술용우척주측철술수연가감소술중이체홍세포수주량,단무법감소위술기이체수혈량,우회증가위술기수혈상관비용,인차몰유현저적림상개치.
Objective To evaluate the efficacy of autologous blood withdrawal-reinfusion for scoliosis surgery.Methods Six hundred and seventy-seven patients of both sexes,aged 7-64 yr,weighing 20-83 kg,who underwent scoliosis surgery from August 2007 to November 2013,were randomly divided into 2 groups according to whether or not autologous blood withdrawal-reinfusion was applied:control group (group C,n =474) and autologous blood withdrawal-reinfusion group (group WR,n =203).Propensity score matching analysis with preset caliper width was used.A total of 181 matched pairs were selected from the patients.The intra-operative and post-operative requirements for allogeneic red blood cell (RBC) and plasma transfusion and peri-operative blood transfusion-related cost were recorded.Results Compared with group C,the intraoperative requirement for allogeneic RBC transfusion was siguificantly decreased,the cost was increased,and no significant change was found in perioperative requirements for allogeneic RBC and plasma transfusion in group WR.Conclusion Although autologous blood withdrawal-reinfusion can reduce the intraoperative requirement for allogeneic RBC transfusion,it can not reduce the perioperative requirement for allogeneic blood transfusion,and increases the cost of perioperative blood transfusion when used for scoliosis surgery,thus providing no significant value clinically.