摘要
目的:探究在良性脑肿瘤手术中应用回收式自体输血与不同血液稀释法联合应用的效果。方法:选入本次研究的30例试验对象均是本院行良性脑肿瘤手术治疗患者,经电脑随机分为三组,各10例,甲组不行血液保护技术(对照组),乙组采取急性等容量血液稀释联合回收式自体输血,丙组采取急性高容量血液稀释联合回收式自体输血,比较组间应用效果。结果:各时点心率及平均动脉压与T 1比较,改变不明显(P>0.05);在T 2、T 3时点,各组患者会在不同程度上升高中心静脉压,且乙组T 2时明显比其他组高,差异性显著(P<0.05);组间尿量、术中输液量比较,无明显差异(P>0.05);甲组术中异体血输注量明显高于其他两组,异性显著(P<0.05)。结论:血液稀释技术与回收式自体输血联合,有利于降低良性脑肿瘤患者术中的异体血输注量,不会影响到凝血功能,可保证临床安全性。
Objective:To explore the effect of Recovery Autotransfusion combined with different Blood Dilution Methods in Benign Brain Tumor Surgery.Methods:30 cases selected for the study subjects are in our line of Benign Brain Tumor Surgery patients,via computer were randomLy divided into three groups,each 10 cases,students’no Blood Conservation technology(control group),group b to acute hemodilution combined regenerative capacity of autologous blood transfusion,such as c group to acute hemodilution combined high capacity recovery type of autologous blood transfusion,application effect comparison between groups.Results:The changes of heart rate and mean arterial pressure at each time point were not significant compared with T 1(P>0.05).At T 2 and T 3,the central venous pressure in each group increased to different degrees,and group B at T 2 was significantly higher than other groups,with significant difference(P<0.05).There was no significant difference in urine volume and intraoperative infusion volume between the two groups(P>0.05).The amount of allogeneic blood transfusion in group A was significantly higher than that in the other two groups(P<0.05).Conclusion:The combination of blood dilution technology and recycled autotransfusion is beneficial to reduce the amount of allogeneic blood transfusion in the operation of patients with benign brain tumors,and does not affect the coagulation function,which can ensure clinical safety.
作者
周广文
Zhou Guangwen(Dongguan People’s Hospital,Dongguan Guangdong 523000)
出处
《黑龙江医药》
CAS
2020年第5期1009-1011,共3页
Heilongjiang Medicine journal
基金
东莞市社会科技发展(一般)项目(项目编号:201950715001723)。
关键词
良性脑肿瘤手术
回收式自体输血
血液稀释法
血液保护
Benign Brain Tumor Surgery
Recovery Autotransfusion
Blood Dilution Method
Blood Conservation
