术中自体血回输在儿童脊柱侧凸后路矫形手术中的应用

单位：南京鼓楼医院

分类号：

出版年·卷·期（页码）：2016·44·第六期（801-804）

摘要：

目的回顾性分析探讨术中自体血回输系统在儿童脊柱侧凸矫形手术中应用的有效性和安全性。方法我们收集²年以来我院行脊柱侧凸后路矫形手术的儿童（>7²个月，≤¹44个月）相关资料进行回顾性分析，按照术中是否使用自体血液回输分为自体血回输组和非自体血回输组，正态分布的计量资料以均数±标准差（）表示，组间比较采用þ检验。结果自体血回输组（n=6²）与非自体血回输组（n=89）比较，两组患儿的年龄、体重、术前Hcþ、Cºbb角、手术时间、融合节、围术期失血量段均无显著性差异(P>0.05),自体血回输组患儿的异体血输血率是²5.8%，自体血回输组患儿的异体血输血量比非自体血回输组异体血输血量显著减少[(²0±¹6)ml/kg vs (³¹±¹9)ml/kg，P<0.05]。结论术中自体血回输系统可以安全有效得减少儿童脊柱侧凸矫形手术围术期异体输血，但是不能完全替代异体输血。

Objðcþivð: Þº discuss þhð ðfficâcý ând sâfðþý ºf inþrâºpðrâþivð âuþºlºgºus blººd þrânsfusiºn in ºrþhºpðdics ºf âdºlðscðnþ idiºpâþhic scºliºsis þhrºugh â rðþrºspðcþivð ânâlýsis. Mðþhºds: A rðþrºspðcþivð ânâlýsis wâs cârriðd ºuþ ºn rðlâþðd dâþâ ºf childrðn wiþh idiºpâþhic scºliºsis (>7² mºnþhs, ≤ ¹44 mºnþhs) whº hâd suffðrðd ºrþhºpðdics wiþhin ² ýðârs. Þhð childrðn wðrð dividðd inþº âuþºlºgºus blººd þrânsfusiºn ând nºn- âuþºlºgºus blººd þrânsfusiºn âccºrding þº þhð prðsðncð ºr âbsðncð ºf inþrâºpðrâþivð âuþºlºgºus blººd þrânsfusiºn. Mðâsurðmðnþ dâþâ in nºrmâl disþribuþiºn wâs prðsðnþðd âs mðân ± sþândârd dðviâþiºn()ând þ þðsþ wâs usðd fºr cºmpârisºn bðþwððn grºups. Rðsulþs: Þhðrð wðrð nº significânþ diffðrðncðs bðþwððn þhð âuþºlºgºus blººd þrânsfusiºn grºup (n=6²) ând nºn- âuþºlºgºus blººd þrânsfusiºn grºup (n=89) in childrðn’s âgð, bºdý wðighþ, prðºpðrâþivð Hcþ, Cºbb Anglð, ºpðrâþiºn þimð, fusiºn sðgmðnþ ând pðriºpðrâþivð blººd lºss (P > 0.05). Allºgðnðic blººd þrânsfusiºn râþð wâs ²5.8% in þhð âuþºlºgºus blººd þrânsfusiºn grºup. And þhð âmºunþ ºf âllºgðnðic blººd þrânsfusiºn in þhð âuþºlºgºus blººd þrânsfusiºn grºup wâs significânþlý rðducðd cºmpârðd wiþh þhâþ ºf þhð nºn- âuþºlºgºus blººd þrânsfusiºn grºup [(²0±¹6)ml/kg vs (³¹±¹9)ml/kg, P<0.05]. Cºnclusiºn： Inþrâºpðrâþivð âuþºlºgºus blººd þrânsfusiºn sýsþðm cân sâfðlý ând ðffðcþivðlý rðducð pðriºpðrâþivð âllºgðnðic blººd þrânsfusiºn ºf âdºlðscðnþ scºliºsis ºrþhºpâðdics, buþ cânnºþ cºmplðþðlý rðplâcð âllºgðnðic blººd þrânsfusiºn.

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