剖宫产术中回收式自体输血的适应证探讨*

doi:10.3969/j.issn.1671-2587.2021.06.015

临床输血与检验 ›› 2021, Vol. 23 ›› Issue (6): 742-745.DOI: 10.3969/j.issn.1671-2587.2021.06.015

剖宫产术中回收式自体输血的适应证探讨^*

王瑞含, 刘浩, 刘佩, 刘久波

442000 十堰,湖北十堰市太和医院

收稿日期:2021-02-18 出版日期:2021-12-20 发布日期:2021-12-21
通讯作者: 刘久波,主任医师,教授,主要从事临床输血、微循环学研究,（E-mail）ljb169168@sina.com。
作者简介:王瑞含（1994-）,女,山东菏泽人,硕士,主要从事临床检验诊断学,（E-mail）952017575@qq.com。
基金资助:
*本课题受湖北省卫生健康委2019年输血专项-重点项目（No.WJ2019H344）资助

Indication of Intraoperative Cell Salvage in Cesarean Section

WANG Rui-han, LIU Hao, LIU Pei, et al

Department of Blood Transfusion, Taihe Hospital, Shiyan, Hubei 442000

Received:2021-02-18 Online:2021-12-20 Published:2021-12-21

摘要/Abstract

摘要： 目的回顾性统计我院近年来回收式自体输血（intraoperative cell salvage, ICS）使用情况,分析剖宫产术中自体血回输的适应证。方法统计2018年1月~2019年12月我院应用ICS的剖宫产妇共1 108例,根据其是否回输自体血分为回输组（673例）和未回输组（435例）,分析两组产妇术前基本情况及临床资料,采用SPSS 23.0 统计软件进行数据分析。结果 2018年1月~2019年12月ICS回输率为60.74%。回输组产妇术中失血量与自体血回输血量呈线性相关关系。与未回输组比较,回输组产妇术中失血量、前置胎盘、胎盘植入、胎盘早剥、瘢痕子宫、子痫前期等方面存在显著差异（均P<0.05）。纳入Logistic多因素回归分析显示前置胎盘、胎盘植入、胎盘早剥和瘢痕子宫是ICS的危险因素。结论前置胎盘、胎盘植入、胎盘早剥和瘢痕子宫是自体血回输的适应证,推荐此类产妇剖宫产术中常规使用ICS。

关键词: 回收式自体输血, 剖宫产术, 危险因素, 适应证

Abstract: Objective To retrospectively analyze the use of intraoperative cell salvage (ICS) in our hospital in recent years, and to analyze the indication to ICS during cesarean section. Methods A total of 1 108 women with cesarean section in our hospital from January 2018 to December 2019 were included, 673 cases in the reinfusion group and 435 cases in the non-reinfusion group. The basic information and clinical data between two groups were analyzed by SPSS 23.0. Results The reinfusion rates of ICS between Jan. 2018 and Dec. 2019 were 60.74%. In the reinfusion group, there was a linear correlation between the amount of blood lost and reinfusion during the operation. There were significant differences in placenta previa, placenta accreta, placental abruption, scarred uterus, preeclampsia and the amount of blood lost between the two groups (P<0.05). Logistic regression analysis showed that placenta previa, placental accreta, placental abruption and scarred uterus can increase the risk of autologous blood transfusion. Conclusion Placenta previa, placental accreta, placental abruption and scarred uterus are indications for autologous blood transfusion. ICS is recommended for cesarean section in these pregnant women.

Key words: Intraoperative cell salvage, Cesarean section, Risk factors, Indication

中图分类号:

R457

王瑞含, 刘浩, 刘佩, 刘久波. 剖宫产术中回收式自体输血的适应证探讨^*[J]. 临床输血与检验, 2021, 23(6): 742-745.

WANG Rui-han, LIU Hao, LIU Pei, et al. Indication of Intraoperative Cell Salvage in Cesarean Section[J]. JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE, 2021, 23(6): 742-745.

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剖宫产术中回收式自体输血的适应证探讨^*

Indication of Intraoperative Cell Salvage in Cesarean Section

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