CAJ | 학술논문

目的：对比分析骨科围手术期中限制性输血和开放性输血的临床疗效及不良反应。方法选择2013年1月至2014年6月我院骨科围手术期进行输血的患者作为研究对象，按照随机数字表法分为限制性输血组和开放性输血组各31例，开放性输血组：当Hb<100g/L时输注红细胞，使Hb维持在100g/L以上；限制性输血组：当Hb<70 g/L时输注红细胞，使Hb维持在70~100g/L。结果两组的住院时间、拆线时间、术中低血压发生率和切口感染率比较差异无统计学意义(P>0．05)，但开放性输血组的人均用血量、人均输血费用和输血不良反应明显高于限制性输血组，差异有统计学意义(P<0．05)。结论对骨科围手术期患者应当进行限制性输血。
목적：대비분석골과위수술기중한제성수혈화개방성수혈적림상료효급불량반응。방법선택2013년1월지2014년6월아원골과위수술기진행수혈적환자작위연구대상，안조수궤수자표법분위한제성수혈조화개방성수혈조각31례，개방성수혈조：당Hb<100g/L시수주홍세포，사Hb유지재100g/L이상；한제성수혈조：당Hb<70 g/L시수주홍세포，사Hb유지재70~100g/L。결과량조적주원시간、탁선시간、술중저혈압발생솔화절구감염솔비교차이무통계학의의(P>0．05)，단개방성수혈조적인균용혈량、인균수혈비용화수혈불량반응명현고우한제성수혈조，차이유통계학의의(P<0．05)。결론대골과위수술기환자응당진행한제성수혈。
Objective To compare the clinical efficacy and adverse reaction of orthopedic perioperative limiting blood transfusion and opened blood transfusion. Methods The patients who undergoing orthopedic perioperative blood transfusionIn January 2013 to June 2014 in our hospital as the research object, according to the random number table into limiting blood transfu-sion group and opened blood transfusion group, 31 cases each. Opened blood transfusion group:the group started blood transfusion when Hb was lower than 100g/L,so that Hb was maintained at 100g/L or more;limiting blood transfusion group:the group started transfusion only when the Hb level was lower than 70g/L,so that Hb was mainained at 70 ~100g/L. Results There were no difference(P>0. 05)between the two groups in the amount of the time stay in hospital,take out stitches time,occurrence of hypo-tension during the operation and the wound infection. But the amount of intraoperative blood transfusion,the cost of blood transfu-sion,and the adverse in group limiting blood transfusion were obviously lower than the group opened blood transfusion(P<0. 05). Conclusion Patients with orthopedic perioperative blood transfusion should be restricted.