腰―硬联合麻醉下腰椎骨折手术患者采用回收式自体输血和同种异体输血用血情况比较研究.docVIP

腰―硬联合麻醉下腰椎骨折手术患者采用回收式自体输血和同种异体输血用血情况比较研究 　　[摘要] 目的 比较腰-硬联合麻醉下腰椎骨折手术中采用回收式自体输血与同种异体输血的用血效果。 方法 选择我院2012年1月～2014年1月接受腰-硬联合麻醉腰椎骨折手术治疗的60例患者为研究对象，根据输血方式不同将其分为对照组和观察组，每组各30例，对照组采取同种异体输血方式，观察组则行回收式自体输血，对两组用血效果及并发症情况进行比较。 结果 观察组感染率3.33%，对照组感染率20.00%，观察组感染率明显低于对照组（P0.05）。 两组平均输血量、回收量及住院时间比较，差异有统计学意义（P0.05）。 结论 相比同种异体输血，回收式自体输血具有术后感染率低、住院时间短、血液回收等特点，值得在腰椎骨折手术中进一步推广应用。 　　[关键词] 腰椎骨折手术；回收式自体输血；同种异体输血；腰-硬联合麻醉；用血效果 　　[中图分类号] R614 [文献标识码] B [文章编号] 1673-9701（2015）12-0099-03 　　A comparative study of blood transfusion in salvaged autotransfusion and allogeneic blood transfusion in patients with the lower lumbar fractures under combined spinal-epidural anesthesia 　　LAN Yunping1 WAN Wenhua2 SONG Weiqiang2 　　1.Department of Anesthesiology， Quzhou Peoples Hospital in Zhejiang Province，Quzhou 324000，China； 2.Department of Anesthesiology，Jinhua Wenrong Hospital in Zhejiang Province， Jinhua 321000，China 　　[Abstract] Objective To compare the blood transfusion effects in salvaged autotransfusion and allogeneic blood transfusion in the operation of the lower lumbar fractures under combined spinal-epidural anesthesia. Methods A total of 60 patients who accepted lumbar fractures operation under combined spinal-epidural anesthesia in our hospital from January 2012 to January 2014 were chosen as study objects. According to different blood transfusion ways， 60 patients were divided into the control group and the observation group， with 30 patients in each group. Patients in the control group accepted allogeneic blood transfusion， and patients in the observation group accepted salvaged autotransfusion. The blood transfusion effects and complications in the two groups were compared. Results The infection rate in the observation group was 3.33%， and the infection rate in the control group was 20.00%. The infection rate in the observation group was significantly lower than that in the observation group（P0.05）. In addition， the differences in the average amount of blood transfusion， blood recove