• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (5): 477-479.DOI: 10.3969/j.issn.1671-2587.2019.05.009

• 临床输血 • 上一篇    下一篇

贮存式自体血在老年患者中的应用分析

黄家福, 张晓琳, 陈宝婷, 吴耀建   

  1. 342000 泉州,福建省解放军第180医院输血科
  • 收稿日期:2018-07-02 出版日期:2019-10-20 发布日期:2019-10-29
  • 作者简介:黄家福(1990-),男,福建晋江人,技师,学士,主要从事临床输血治疗研究,(E-mail)394740558@qq.com。
  • 基金资助:
    *本课题受泉州市科技计划项目(No.2018N126S)资助

Application of Stored Auto -Transfusion in Elderly Patients in Our Hospital

HUANG Jia-fu, ZHANG Xiao-lin, CHEN Bao-ting, et al   

  1. Department of Blood Transfusion,180 Hospital of PLA,Fujian 342000
  • Received:2018-07-02 Online:2019-10-20 Published:2019-10-29

摘要: 目的 回顾性分析某院老年患者中贮存式自体输血(PABD)的应用,探讨推广PABD的可行性和难点。方法 收集 2016 年 1 月~2017 年 12月在本院择期手术行PABD的患者285例的回顾性资料,选择其中年龄大于55岁的老年患者127例为观察组,与同等条件下未实施PABD的老年患者(对照组)进行对比分析,比较两组患者在输血率、输血量、术中出血量、术后血红蛋白(Hb)水平和不良反应上的差异。结果 实施和未实施PABD的老年患者的术中输血量和输血率均高于非老年患者(P<0.05)。观察组的老年患者未见输血不良反应,而对照组则有2例,均表现为过敏或发热反应。与对照组相比,观察组患者的术中出血量明显减少,术中输血率及输血量大幅下降,但术后血红蛋白水平较低,差异均有统计学意义(P<0.05)。结论 PABD在老年患者中同样有良好的效果,值得推广。

关键词: 老年患者, 贮存式自体输血, 输血率

Abstract: Objective This paper reviews the present situation of application of storage auto-transfusion of Preoperative Autologous Blood Donation(PABD) in our hospital,analyzes its clinical effect in elderly patients,and probes into the feasibility and difficulties of popularizing PABD in elderly patients.Methods Data from285 patients with PABD undergoing elective operation in our hospital from January,2016 to December,2017 was retrospectively analyzed. Among them,127 elderly patients over 55 years old were selected as the observation group and the elderly patients without PABD under the same conditions as the control group. The blood transfusion rate,the blood transfusion volume and the intraoperative bleeding volume,hemoglobin (HB) level and adverse reaction after operation were compared between the two groups.Results The intraoperative blood transfusion volume and blood transfusion rate in the elderly patients with or without PABD were significantly higher than those in the non-elderly patients (P<0.05). There were no adverse reactions in the elderly patients in the observation group,but 2 cases in the control group,both showing allergic or febrile reactions,and the incidence of adverse reactions was 1. 5%. Compared with the control group,the intraoperative blood loss,blood transfusion rate and blood transfusion volume decreased significantly in the observation group,but the hemoglobin level was lower after operation (P< 0.05).Conclusion PABD also has good effect in elderly patients and is worth popularizing. At the same time,the hospital should establish a scientific and reasonable blood transfusion system to improve conditions for the promotion of PABD.

Key words: Elderly patients, Preoperative Autolo-gous Blood Donation, Blood transfusion rate

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