【摘要】：目的:探討術(shù)中輸注不同保存時(shí)間庫(kù)存紅細(xì)胞對(duì)老年髖關(guān)節(jié)置換術(shù)患者術(shù)后譫妄的影響。方法:選取老年髖關(guān)節(jié)置換術(shù)患者110例,采用隨機(jī)數(shù)字表法分為兩組,對(duì)照組患者55例術(shù)中輸注保存時(shí)間14 d的庫(kù)存紅細(xì)胞,觀察組患者55例術(shù)中輸注保存時(shí)間≤14 d的庫(kù)存紅細(xì)胞,比較兩組患者手術(shù)情況、術(shù)后譫妄的發(fā)生情況。結(jié)果:觀察組患者輸血4 h、1 d、3 d時(shí)血紅蛋白高于對(duì)照組(P0.05),C反應(yīng)蛋白、白介素-6、腫瘤壞死因子α水平均低于對(duì)照組(P0.05),兩組患者手術(shù)時(shí)間、住院時(shí)間、晶體液量、膠體液量、尿量、術(shù)中出血量比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),觀察組患者術(shù)后并發(fā)癥發(fā)生率、術(shù)后譫妄發(fā)生率低于對(duì)照組(P0.05),觀察組患者術(shù)后譫妄持續(xù)時(shí)間少于對(duì)照組(P0.05)。結(jié)論:術(shù)中輸注保存時(shí)間≤14 d庫(kù)存紅細(xì)胞可有效降低老年髖關(guān)節(jié)置換術(shù)患者術(shù)后譫妄發(fā)生的效果優(yōu)于術(shù)中輸注保存時(shí)間14 d的庫(kù)存紅細(xì)胞的效果。
[Abstract]:Objective: to investigate the effect of intraoperative infusion of red blood cells at different storage times on postoperative delirium in elderly patients undergoing hip arthroplasty. Methods: 110 elderly patients undergoing hip arthroplasty were randomly divided into two groups: control group (n = 55) and control group (n = 55). 55 patients in the observation group received intraoperative infusion of red blood cells less than 14 days. The operative and postoperative delirium were compared between the two groups. Results: the levels of), C reactive protein, interleukin-6 and tumor necrosis factor-偽 in the observation group were lower than those in the control group at 4 hours, 1 day and 3 days after blood transfusion (P0.05), and the operation time of the two groups was significantly lower than that of the control group (P0.05). There was no significant difference in hospitalization time, volume of lens fluid, colloid fluid, urine volume and intraoperative bleeding (P0.05). The incidence of postoperative complications and postoperative delirium in the observation group was lower than that in the control group (P0.05). The duration of postoperative delirium in the observation group was shorter than that in the control group (P0.05). Conclusion: intraoperative infusion of red blood cells 鈮，

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