Influencing factors and nursing strategies of hidden blood loss in patients with adult degenerative scoliosis undergoing posterior approach
- VernacularTitle:成人退变性脊柱侧凸后路手术患者隐性失血的影响因素及护理策略
- Author:
Jinyu GU
1
;
Ping JI
;
Shujie ZHAO
;
Juan ZHAO
Author Information
- Keywords: adult degenerative scoliosis; spine surgery; hidden blood loss; influencing factors; nursing strategy
- From: Journal of Clinical Medicine in Practice 2024;28(5):107-110
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the influencing factors and nursing strategies of hidden blood loss(HBL)in patients with adult degenerative scoliosis(ADS)undergoing posterior approach.Methods Eighty ADS patients who underwent posterior spinal surgery were selected as the study ob-jects.Demographic characteristics and perioperative blood loss were retrospectively collected.The influ-encing factors of HBL were analyzed by multi-factor linear regression analysis.Results Operation time,muscle thickness and allogeneic blood transfusion were independent risk factors for increased HBL in ADS patients(P＜0.05);female,autologous blood transfusion and intraoperative thermal blanket were independent protective factors for elevated HBL(P＜0.05).Conclusion In view of the above independent risk factors of elevated HBL,the nursing staff should make preoperative preparation and strengthen the temperature management of ADS patients during the operation,so as to accelerate the recovery of patients and reduce the occurrence of postoperative complications.
