【摘要】：目的:探討術(shù)中加溫輸血對(duì)術(shù)后靜脈血栓發(fā)生及認(rèn)知恢復(fù)的影響。方法:選擇全麻下?lián)衿谛畜y膝關(guān)節(jié)置換術(shù)150例,隨機(jī)分為輸血加溫組和對(duì)照組。術(shù)后評(píng)估血栓事件發(fā)生率;用簡(jiǎn)易智力狀況檢查法(MMSE)評(píng)估術(shù)后1、3、7天的認(rèn)知功能恢復(fù)率。結(jié)果:術(shù)后2組血栓事件發(fā)生率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。加溫組發(fā)生肺動(dòng)脈血栓1例,下肢深靜脈血栓3例;對(duì)照組發(fā)生下肢深靜脈血栓2例。2組認(rèn)知恢復(fù)率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:術(shù)中少量輸血加溫對(duì)術(shù)后靜脈血栓發(fā)生及認(rèn)知恢復(fù)無(wú)明顯影響。
[Abstract]:Objective: to investigate the effect of intraoperative warming blood transfusion on postoperative venous thrombosis and cognitive recovery. Methods: 150 patients undergoing selective hip and knee arthroplasty under general anesthesia were randomly divided into two groups: transfusion warming group and control group. The incidence of thrombotic events was evaluated after operation and the recovery rate of cognitive function was evaluated by simple mental state test (MMSE) at 1: 3 and 7 days postoperatively. Results: there was no significant difference in the incidence of thrombotic events between the two groups (P 0.05). There were 1 case of pulmonary artery thrombosis and 3 cases of deep vein thrombosis of lower extremity in the warming group and 2 cases in the control group. There was no significant difference in the recovery rate of cognition between the two groups (P0.05). Conclusion: there is no significant effect on postoperative venous thrombosis and cognitive recovery after intraoperative blood transfusion and warming.
【作者單位】： 浙江大學(xué)醫(yī)學(xué)院附屬邵逸夫醫(yī)院;寧夏醫(yī)科大學(xué)總醫(yī)院;
【基金】：寧夏回族自治區(qū)科技攻關(guān)計(jì)劃寧陜合作項(xiàng)目(2012)
【分類(lèi)號(hào)】：R687.4

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