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目的探讨术前预存式自体输血在腰椎后路手术的临床疗效及应用价值。方法选择2012年3月-2015年3月行腰椎后路手术患78名,自体血组和对照组各39例。患者年龄16-70岁,患者心肺功能及身体状况良好,采血前Hb:男≥120 g/L,女≥110 g/L。按照术前是否进行PBD,分为自体血组和对照组。记录并比较2组患者的总住院时间、术后住院时间、输血相关费用、术中出血量、术后引流量、术后Hb以及异体输血量。结果 2组的术中出血量、术后引流量和术后Hb均不具统计学意义(P>0.05);自体血组的平均术后住院时间、平均总住院时间、平均输血相关费用和异体红细胞输注率(8.95±2.87)d、(12.28±4.05)d、(174.70±323.76)元、7.69%,均低于对照组水平(13.38±8.68)d、(18.49±8.86)d、(779.36±823.15)元、47.22%,2组比较差异具统计学意义(P<0.05)。结论对腰椎后路手术患者采用PBD可有效纠正术中、术后失血性贫血,同时PBD患者术后恢复快,住院时间少,减轻患者经济负担,同时可显著减轻对异体血的依赖。
Objective To investigate the clinical effect and clinical value of preoperative preoperative blood transfusion in posterior lumbar surgery. Methods From March 2012 to March 2015, 78 patients underwent posterior lumbar surgery, 39 patients in autologous blood group and 39 in control group. Patients aged 16-70 years old, cardiopulmonary function and physical condition in patients with good pre-blood Hb: male ≥ 120 g / L, female ≥ 110 g / L. According to whether preoperative PBD, divided into autologous blood group and control group. Record and compare the total length of hospital stay, postoperative hospital stay, blood transfusion related costs, intraoperative blood loss, postoperative drainage, postoperative Hb and allogeneic blood transfusion. Results The intraoperative blood loss, postoperative drainage volume and postoperative Hb were not statistically significant (P> 0.05). The average postoperative hospital stay, the average total length of stay, the average blood transfusion related costs in autologous blood group and allogeneic red blood cells The infusion rate was (8.95 ± 2.87) d, (12.28 ± 4.05) d, (174.70 ± 323.76) Yuan and 7.69%, respectively, which were lower than the control group (13.38 ± 8.68) d, (18.49 ± 8.86) d and 823.15) yuan, 47.22%, the difference between the two groups was statistically significant (P <0.05). Conclusions PBD can effectively correct the intraoperative and postoperative hemorrhagic anemia in patients undergoing posterior lumbar surgery. At the same time, the recovery of PBD patients is quick, the hospitalization time is short, the economic burden is reduced and the dependence on allogeneic blood is significantly reduced.