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目的:了解贮存式自体输血患者在妇科择期手术中的应用情况并评价其效果。方法:83例妇科择期手术患者分为2组,其中自体输血组43例,非自体输血组40例,比较2组患者年龄、BMI、采血前或手术前以及术后第3天的血红蛋白(Hb)和异体红细胞输注量,比较不同Hb时2组的术中异体输血率和自体输血组患者术后自体血弃血的情况。结果:2组患者年龄、BMI、采血前或手术前Hb以及异体红细胞输注量均没有差别(P>0.05),术后第3天患者Hb自体输血组高于非自体输血组(t=2.657,P<0.05)。低Hb(Hb≤133.20g/L)时非自体输血组的术中异体输血率高于自体输血组(χ~2=4.974,P<0.05),而高Hb(Hb>133.20g/L)时2组的术中异体输血率差异无统计学意义(χ~2=0.000,P>0.05),2组之间总体比较与低Hb时一致(χ~2=6.413,P<0.05),采血前Hb不同的自体输血患者术后弃血率差异无统计学意义(χ~2=0.144,P>0.05)。结论:贮存式自体输血可以缩短妇科择期手术患者术后Hb的恢复,有效降低术中的异体输血率,对于采血前低Hb的患者可能效果更明显,贮存式自体输血值得在妇科择期手术中推广应用。
Objective: To understand the application of storage-type autologous blood transfusion in gynecological elective surgery and evaluate its effect. Methods: Eighty-three gynecological patients undergoing elective surgery were divided into two groups: 43 cases in autologous blood transfusion group and 40 cases in non-autologous blood transfusion group. The age, BMI, hemoglobin (Hb) before and before blood collection, ) And allogeneic red blood cell transfusion were compared between two groups at different Hb intraoperative blood transfusion rate and autologous blood transfusions in patients with autologous blood after hemorrhage. Results: There was no difference in the age, BMI, pre-blood or preoperative Hb and allogeneic RBC transfusions (P> 0.05). On the third postoperative day, the Hb autotransfusion group was higher than the non-autologous blood transfusion group (t = 2.657 , P <0.05). During low Hb (Hb≤133.20g / L), the intraoperative heterologous blood transfusion rate in non-autologous blood transfusion group was higher than that in autologous blood transfusion group (χ ~ 2 = 4.974, P <0.05) There was no significant difference in intraoperative blood transfusion rate between the two groups (χ ~ 2 = 0.000, P> 0.05). The overall comparison between the two groups was consistent with the low Hb (χ ~ 2 = 6.413, Hb different autologous blood transfusions in patients with postoperative bleeding rate was no significant difference (χ ~ 2 = 0.144, P> 0.05). CONCLUSIONS: Storage-based autologous blood transfusion can shorten the postoperative recovery of Hb in patients undergoing gynecological elective surgery and effectively reduce the intraoperative rate of allogeneic blood transfusion, which may be more effective in patients with low Hb before blood collection. Storage-based autologous transfusion should be promoted in gynecological elective surgery application.