CAJ | 학술논문

目的：对回收式自体输血在骨科手术中的应用效果进行探究分析。方法选取2013年3月-2014年8月接受治疗的62例骨科手术患者作为研究对象，按照住院尾号的奇数将其分为观察组和对照组，分别为32例和30例，对照组采用中心吸引吸出术野出血，观察组患者给予回收式自体输血。结果观察组患者和对照组患者术前和术后的Hct、Hb以及术中出血量情况对比差异无统计学意义（ P＞0.05）；观察组患者的输异体血量明显少于对照组（P＜0.05）；观察组患者的输异体血病例率明显低于对照组（ P＜0.05）。结论在骨科手术过程中应用回收式自体输血，能够有效避免或者减少输异体血，并降低或者杜绝发生输异体血等并发症，可在骨科中推广应用。
목적：대회수식자체수혈재골과수술중적응용효과진행탐구분석。방법선취2013년3월-2014년8월접수치료적62례골과수술환자작위연구대상，안조주원미호적기수장기분위관찰조화대조조，분별위32례화30례，대조조채용중심흡인흡출술야출혈，관찰조환자급여회수식자체수혈。결과관찰조환자화대조조환자술전화술후적Hct、Hb이급술중출혈량정황대비차이무통계학의의（ P＞0.05）；관찰조환자적수이체혈량명현소우대조조（P＜0.05）；관찰조환자적수이체혈병례솔명현저우대조조（ P＜0.05）。결론재골과수술과정중응용회수식자체수혈，능구유효피면혹자감소수이체혈，병강저혹자두절발생수이체혈등병발증，가재골과중추엄응용。
Objective To explore the application effect of intraoperative autotransfusion in operation of orthopedics department. Methods Chose 62 cases of bone surgery from Mar. 2013 to Aug. 2014 as research object,divided them into observation group and control group according to the length of tail number of odd,respectively 32 cases and 30 cases. The control group was treated with center suction for bleeding in operation field,and the observation group was treated with intraoperative au?totransfusion. Results There were no statistical significance on Hct,Hb and bleeding amount be?tween observation group and control group before and after surgery(P>0. 05);the allogeneic trans?fusion amount of observation group was obviously lower than that in control group(P<0. 05);the al?logeneic transfusion cases of observation group was obviously lower than that in control group(P <0. 05). Conclusions Application of intraoperative autotransfusion in orthopedic surgery,can effec?tively avoid or reduce allogeneic transfusion and the complications,it can be popularized in orthope?dic department.