• 中国科学论文统计源期刊
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  • 日本科学技术振兴机构数据库(JST)
临床输血与检验

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (2): 101-103.DOI: 10.3969/j.issn.1671-2587.2016.02.002

• 临床输血研究 • 上一篇    下一篇

体外循环瓣膜置换术围手术期红细胞悬液用量的术前因素分析*

刘红伟,林金端, 钟国权, 李玉权, 夏旭, 孙小会, 刘卫华   

  1. 511500 广东省清远市人民医院输血科（刘红伟,钟国权,李玉权）; 检验科（林金端）; 胸心外科（夏旭）; 病案统计室（孙小会）; 麻醉科（刘卫华）
  • 收稿日期:2015-09-10 出版日期:2016-04-20 发布日期:2016-09-21
  • 作者简介:刘红伟（1983-）,男,江西信丰人,主管技师,学士,主要从事临床输血工作,（E-mail）649418240@qq.com。
  • 基金资助:
    *本课题受2015年清远市社会发展领域自筹经费科技计划项目（No.2015B006）资助

Preoperative Factors of Perioperative CRCs Consumption in CPB Valve Surgery

LIU Hong-wei, LIN Jin-duan, ZHONG Guo-quan, et al   

  1. Blood Transfusion Department, Clinical Laboratory,Thoracic Surgery Department, Medical Record Department, Anesthesia Department, Qing Yuan People’s Hospital, Guangdong 511500
  • Received:2015-09-10 Online:2016-04-20 Published:2016-09-21

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摘要： 目的探讨影响体外循环（CPB）瓣膜置换术围手术期红细胞悬液（CRCs）用量的术前因素。方法收集2012年12月~2014年11月本院71例行择期手术的体外循环CPB瓣膜置换术患者的临床资料,对可能影响围手术期CRCs大量用血（≥8 U）的术前影响因素,即年龄、体质指数（BMI）、左室射血分数（LVEF）、术前肌酐（Cr）、丙氨酸氨基转移酶（ALT）、外周血管病史、术前2周内房颤房扑、心功能,进行单因素Logistic回归筛选。再用多因素Logistic回归分析确认。结果经单因素Logistic回归分析,得出年龄、BMI、LVEF、术前Cr、外周血管病史有统计学意义（P均<0.10）。多因素Logistic回归分析得出年龄、术前Cr、BMI（P均<0.10,OR值分别为2.128,4.244,0. 264）为影响因素。结论高龄、术前Cr水平异常增高、BMI低的患者,CPB瓣膜置换术围手术期CRCs用量≥8 U的概率高,择期手术需备足血液。

关键词: 体外循环, 瓣膜置换术, 红细胞悬液用量, 术前因素

Abstract: ObjectiveTo study the preoperative factors of perioperative red blood cells suspension (CRCs) consumption in cardiopulmonary bypass (CPB) valve surgery. MethodsClinical data from 71 adult patients of selective CPB valve surgery during December 2012 to November 2014 were collected and analyzed. By binary logistic regression to find out risk factors of perioperative CRCs large consumption (≥8 U) in 5 variables (including age, body mass index (BMI), left ventricular ejection fraction (LVEF), preoperative creatinine (Cr), alanine aminotransferase (ALT), peripheral vascular disease history, atrial fibrillation and flutter in 2 weeks before surgery, cardiac function). ResultsIn single variable logistic regression, 5 variables were in the equation (age, BMI, LVEF, preoperative Cr and peripheral vascular disease history, P <0.10, respectively.). In multivariable logistic regression, 3 variables were in the equation (age, preoperative Cr and BMI, P<0. 10, OR = 2.128, 4.244 and 0. 264, respectively). ConclusionMore blood should be prepared for patients of elder, higher preoperative Cr and less BMI due to the possibility of the patients with perioperative CRCs in needs of large consumption(≥8 U).

Key words: Cardiopulmonary, bypass, Valve, surgery, CRCs, consumption, Preoperative, factors

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