摘要
目的探究凶险性前置胎盘患者于剖宫产手术中采用回收式自体输血的作用和价值。方法选择2017年12月至2018年9月于本院行剖宫产手术的凶险性前置胎盘患者30例,采用随机数字表法将其分为实验组与参照组,每组均15例。其中,参照组采用异体输血形式,实验组患者实施回收式自体输血模式,对比两组患者凝血相关指标、血常规指标及异体输血情况。结果两组凝血酶原时间、活化凝血活酶时间、纤维蛋白原、凝血酶时间等凝血功能相关指标差异无统计学意义,实验组与参照组血红蛋白、红细胞计数、血细胞比容、血小板计数等血常规相关数据差异无统计学意义。实验组异体血浆(26.67%)、异体红细胞悬浊液(20.00%)、异体凝血因子(20.00%)输血比例明显低于参照组(80.00%、73.33%、66.67%),两者差异具有统计学意义(P<0.05)。结论针对凶险性前置胎盘患者剖宫产手术之中采用回收式自体输血形式具有较大临床优势,患者凝血功能指标及血常规指标未见异常,同时能够避免异体输血的风险,并有效节约血源,应予以临床推广。
Objective To investigate the role and value of regenerative autotransfusion in cesarean section in patients with sinister placenta previa. Methods 30 patients with sinister placenta previa who underwent cesarean section in our hospital were enrolled. The enrollment time was from December 2017 to September 2018. They were divided into experimental group and reference group by random number table method, 15 cases in each group. Among them, the reference group used the form of allogeneic blood transfusion, and the experimental group patients implemented the recovery autologous blood transfusion mode, comparing the coagulation related indicators, blood routine indicators and allogeneic blood transfusion in the two groups. Results There was no significant difference in coagulation function related indexes between prothrombin time, activated thromboplastin time, fibrinogen and thrombin time in the two groups. Hemoglobin, red blood cell count, hematocrit, platelet count and other blood in the experimental group and the reference group. There was no significant difference in routine related data. The transfusion rate of allogeneic plasma (26.67%), allogeneic red blood cell suspension (20.00%) and allogeneic coagulation factor (20.00%) in the experimental group was significantly lower than that in the reference group (80.00%, 73.33%, 66.67%), and the difference was significant (P<0.05). Conclusion The use of retrievable autologous blood transfusion in cesarean section for patients with sinister placenta previa had a great clinical advantage. There is no abnormality in blood coagulation function and blood routine indicators, and the risk of allogeneic blood transfusion can be avoided and saved effectively. Blood source should be clinically promoted.
作者
覃凤梅
卢树昌
马凯蕾
邱金清
Qin Fengmei;Lu Shuchang;Ma Kailei;Qiu Jinqing(GuilinWomen and Children Hospital Anesthesiology,Guilin,Guangxi,541001,China)
出处
《当代医学》
2019年第20期16-18,共3页
Contemporary Medicine
关键词
回收式自体输血
凶险性前置胎盘
剖宫产
Recovery autologous blood transfusion
Sinister placenta previa
Cesarean section
