本文選題：預(yù)存式自體輸血　切入點(diǎn)：腰椎后路手術(shù)　出處：《中國(guó)輸血雜志》2016年01期

【摘要】：目的探討術(shù)前預(yù)存式自體輸血在腰椎后路手術(shù)的臨床療效及應(yīng)用價(jià)值。方法選擇2012年3月-2015年3月行腰椎后路手術(shù)患78名,自體血組和對(duì)照組各39例�；颊吣挲g16-70歲,患者心肺功能及身體狀況良好,采血前Hb:男≥120 g/L,女≥110 g/L。按照術(shù)前是否進(jìn)行PBD,分為自體血組和對(duì)照組。記錄并比較2組患者的總住院時(shí)間、術(shù)后住院時(shí)間、輸血相關(guān)費(fèi)用、術(shù)中出血量、術(shù)后引流量、術(shù)后Hb以及異體輸血量。結(jié)果 2組的術(shù)中出血量、術(shù)后引流量和術(shù)后Hb均不具統(tǒng)計(jì)學(xué)意義(P0.05);自體血組的平均術(shù)后住院時(shí)間、平均總住院時(shí)間、平均輸血相關(guān)費(fèi)用和異體紅細(xì)胞輸注率(8.95±2.87)d、(12.28±4.05)d、(174.70±323.76)元、7.69%,均低于對(duì)照組水平(13.38±8.68)d、(18.49±8.86)d、(779.36±823.15)元、47.22%,2組比較差異具統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對(duì)腰椎后路手術(shù)患者采用PBD可有效糾正術(shù)中、術(shù)后失血性貧血,同時(shí)PBD患者術(shù)后恢復(fù)快,住院時(shí)間少,減輕患者經(jīng)濟(jì)負(fù)擔(dān),同時(shí)可顯著減輕對(duì)異體血的依賴。
[Abstract]:Objective to evaluate the clinical effect and application value of pre-operative autologous blood transfusion in posterior lumbar spine surgery.Methods from March 2012 to March 2015, 78 patients underwent posterior lumbar vertebrae surgery, 39 cases in the autologous blood group and 39 cases in the control group.The patients were 16 to 70 years old and had good cardiopulmonary function and physical condition. Before blood sampling, HB: male 鈮，

本文編號(hào)：1705016