骨科围手术期限制性输血和开放性输血的临床疗效对比

摘要

Objective To compare the clinical efficacy and adverse reaction of orthopedic perioperative limiting blood transfusion and opened blood transfusion. Methods The patients who undergoing orthopedic perioperative blood transfusionIn January 2013 to June 2014 in our hospital as the research object, according to the random number table into limiting blood transfu-sion group and opened blood transfusion group, 31 cases each. Opened blood transfusion group:the group started blood transfusion when Hb was lower than 100g/L,so that Hb was maintained at 100g/L or more;limiting blood transfusion group:the group started transfusion only when the Hb level was lower than 70g/L,so that Hb was mainained at 70 ~100g/L. Results There were no difference(P>0. 05)between the two groups in the amount of the time stay in hospital,take out stitches time,occurrence of hypo-tension during the operation and the wound infection. But the amount of intraoperative blood transfusion,the cost of blood transfu-sion,and the adverse in group limiting blood transfusion were obviously lower than the group opened blood transfusion(P<0. 05). Conclusion Patients with orthopedic perioperative blood transfusion should be restricted.%目的：对比分析骨科围手术期中限制性输血和开放性输血的临床疗效及不良反应。方法选择2013年1月至2014年6月我院骨科围手术期进行输血的患者作为研究对象，按照随机数字表法分为限制性输血组和开放性输血组各31例，开放性输血组：当Hb<100g/L时输注红细胞，使Hb维持在100g/L以上；限制性输血组：当Hb<70 g/L时输注红细胞，使Hb维持在70~100g/L。结果两组的住院时间、拆线时间、术中低血压发生率和切口感染率比较差异无统计学意义(P>0．05)，但开放性输血组的人均用血量、人均输血费用和输血不良反应明显高于限制性输血组，差异有统计学意义(P<0．05)。结论对骨科围手术期患者应当进行限制性输血。