Perioperative blood transfusionfor patients undergoing totalhysterectomy
10.13303/j.cjbt.issn.1004-549x.2021.01.009
- VernacularTitle:全子宫切除术患者围手术期输血研究
- Author:
Yaxin FAN
1
;
Xiaolin BI
1
;
Ning LI
1
;
Jun LIU
2
;
Chan ZHANG
2
;
Xiaolu MA
3
;
Zhongli WANG
4
;
Yan GAO
5
Author Information
1. Dalian Blood Center, Dalian 116001, China
2. Maternal and Child Health Care Hospital of Dalian
3. The First Affiliated Hospital of Dalian Medical University
4. The Second Affiliated Hospital of Dalian Medical University
5. Dalian Municipal Central Hospital
- Publication Type:Journal Article
- Keywords:
total hysterectomy;
perioperative period;
blood transfusion;
patient blood management
- From:
Chinese Journal of Blood Transfusion
2021;34(1):29-31
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To analyze the related factors affecting perioperative blood transfusionin patients undergoing totalhysterectomy, explorethe effective measures to reduce allogeneic blood transfusion and provide data for the establishment of clinical blood transfusion single-disease evaluation index of total hysterectomy. 【Methods】 747 cases of total hysterectomy from three grade-A tertiary general hospitals and onematernal and child health care hospitalin Dalian wereselected, and divided into transfusion group(n=69)and non-transfusion(n=678). Detailed information was collected and analyzed, including patient demographics, operation information, blood routine before operation, postoperative recovery and transfusion volume. 【Results】 9.2%(69/747)of total hysterectomy patients received blood transfusion, with per capita red blood usageof(0.4±2.1)U. The age, operative time, volume of intra-operationbleeding, pre-operationhemoglobin(Hb) level, length ofhospital stay, types and days of antibiotics use between transfusion group and non-transfusion groupwere (49.7±9.1)vs(53±9.5)years old, (182.7±83.5)vs(119.5±64.8)min, (603±650)vs(160±173)mL, (96±26)vs(124±18)g/L, (9.3±4.8)vs(7.3±3.9)days, (2.2±1.1)vs(1.6±0.7)kinds, (6.0±3.9)vs (4.4±2.2)days, respectively, showing significant differences(P<0.05). Transfusion volumewas associated with volume of intra-operation bleeding (r=0.004), operative time (r=0.002) and Hb level of pre-operation(r=-0.022). 【Conclusion】 Blood management of patients undergoingtotal hysterectomy should be strengthened to reduce the incidence of allogeneic blood transfusion and improve patient outcomes by raising the pre-operation Hb level, shortening the operative time and reducing the volume of intra-operation bleeding.
