A comparative study of blood transfusion in salvaged autotransfusion and allogeneic blood transfusion in patients with the lower lumbar fractures under combined spinal-epidural anesthesia
- VernacularTitle:腰-硬联合麻醉下腰椎骨折手术患者采用回收式自体输血和同种异体输血的用血情况比较研究
- Author:
Yunping LAN
1
;
Wenhua WAN
;
Weiqiang SONG
Author Information
1. 浙江省衢州市人民医院麻醉科
- Keywords:
Lumbar fractures operation;
Salvaged autotransfusion;
Allogeneic blood transfusion;
Combined spinal-epidural anesthesia;
Blood transfusion effects
- From:
China Modern Doctor
2015;(12):99-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the blood transfusion effects in salvaged autotransfusion and allogeneic blood trans-fusion in the operation of the lower lumbar fractures under combined spinal-epidural anesthesia. Methods A total of 60 patients who accepted lumbar fractures operation under combined spinal-epidural anesthesia in our hospital from January 2012 to January 2014 were chosen as study objects. According to different blood transfusion ways, 60 patients were divided into the control group and the observation group, with 30 patients in each group. Patients in the control group accepted allogeneic blood transfusion, and patients in the observation group accepted salvaged autotransfusion. The blood transfusion effects and complications in the two groups were compared. Results The infection rate in the ob-servation group was 3.33%, and the infection rate in the control group was 20.00%. The infection rate in the observa-tion group was significantly lower than that in the observation group(P<0.05). In addition, the differences in the average amount of blood transfusion, blood recovery and hospitalization time were statistically significant (P<0.05). Conclu-sion Compared with allogeneic blood transfusion, salvaged autotransfusion has lower postoperative infection rate, shorter hospitalization time and blood recovery, and it is worth promoting salvaged autotransfusion for further applica-tion in lumbar fractures operation.
