剖宫产术中回收式自体输血对高危产妇术中出血及凝血功能的影响OA
Effect of Recovery Autologous Blood Transfusion during Cesarean Section on Bleeding and Coagulation Function in High-Risk Pregnant Women
目的:探究剖宫产术中回收式自体输血对高危产妇术中出血及凝血功能的影响.方法:回顾性分析 2022年 10月—2024年 9月宣城市人民医院收治的 60例高危产妇临床资料,根据输血方式的不同将其分为对照组和研究组,各 30例.对照组术中接受异体输血,研究组术中接受回收式自体输血.比较两组术中出血量、生命体征、凝血功能、血常规指标及不良反应发生情况.结果:两组术中出血情况比较,差异无统计学意义(P>0.05).术前(T0)及血液回输后 24 h(T1)时,两组心率(HR)、舒张压(DBP)、收缩压(SBP)比较,差异均无统计学意义(P>0.05);T1 时,两组HR均低于T0 时,两组DBP、SBP均高于T0 时,差异均有统计学意义(P<0.05).T0、T1 时,两组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、凝血酶时间(TT)、D-二聚体比较,差异均无统计学意义(P>0.05);T1 时,两组PT、APTT、TT、D-二聚体均高于T0 时,FIB均低于T0 时,差异均有统计学意义(P<0.05).T0、T1 时,两组血红蛋白(Hb)、红细胞计数(RBC)、血小板计数(PCT)比较,差异均无统计学意义(P>0.05);T1 时,两组Hb、RBC、PCT均低于T0时,差异均有统计学意义(P<0.05).研究组并发症发生率 16.67%,低于对照组的 20.00%,但两组比较,差异无统计学意义(P>0.05).结论:剖宫产术中采取回收式自体输血可达到与异体输血类似效果,对产妇术中出血、生命体征、凝血功能、血常规均无明显影响,具有一定临床应用价值.
Objective:To investigate the effects of recovery autologous blood transfusion during cesarean section on bleeding and coagulation function during high-risk pregnant women.Methods:Clinical data of 60 high-risk pregnant women admitted to Xuancheng People's Hospital from October 2022 to September 2024 were retrospectively analyzed.According to the different blood transfusion methods,they were divided into a control group and a study group,with 30 cases in each group.The control group received allogeneic blood transfusion during the operation,and the study group received recovery autologous blood transfusion during the operation.The intraoperative blood loss,vital signs,coagulation function,blood routine indicators and the occurrence of adverse reactions were compared between the two groups.Results:There was no significant difference in intraoperative bleeding between the two groups(P>0.05).There were no significant differences in heart rate(HR),diastolic blood pressure(DBP)and systolic blood pressure(SBP)between the two groups before surgery(T0)and 24 h(T1)after blood transfusion(P>0.05).At T1,the HR in both group were lower than those of T0,DBP and SBP were higher than those of T0 in both groups,the differences were statistically significant(P<0.05).At T0 and T1,there were no significant differences in prothrombin time(PT),activated partial thrombin time(APTT),fibrinogen(FIB),thrombin time(TT)and D-dimer between the two groups(P>0.05).At T1,PT,APTT,TT and D-dimer in both group were higher than those of T0,and FIB in both group were lower than those of T0,the differences were statistically significant(P<0.05).At T0 and T1,there were no significant differences in hemoglobin(Hb),red blood cell count(RBC)and platelet count(PCT)between the two groups(P>0.05).At T1,Hb,RBC and PCT in both groups were lower than those at T0,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 16.67%,which was lower than 20.00%in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion:The effect of autotransfusion during cesarean section can be similar to that of allogeneic transfusion,but it has no significant effect on the bleeding,vital signs,coagulation function and blood routine.It has certain clinical value.
黄红丽
安徽省宣城市人民医院产科,安徽 宣城 242000
医药卫生
高危产妇剖宫产回收式自体输血术中出血生命体征凝血功能血常规
High-risk pregnant womenCesarean sectionRecovery autologous blood transfusionIntraoperative bleedingVital signsCoagulation functionBlood routine
《中国伤残医学》 2025 (2)
84-87,97,5
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