摘要
目的筛选先天性脊柱侧凸患儿后路截骨矫形术中大量失血的危险因素。方法收集2017年5月至2019年7月期间行先天性脊柱侧凸后路矫形术患儿的临床资料。根据术中失血量,患儿分为大量失血组(A组,失血量/血容量≥30%)和非大量失血组(B组,失血量/血容量<30%)。采用logistic回归分析筛选危险因素。结果本研究共纳入108例患儿,A组29例,B组79例。两组患儿术前Cobb角、BMI、手术节段、置钉数量、手术时间比较差异有统计学意义(P<0.05)。logistic回归分析显示,术前Cobb角、手术时间、手术节段、BMI是术中大量失血的危险因素(P<0.05)。结论低BMI、Cobb角较大、手术时间长、手术节段多是先天性脊柱侧凸后路截骨矫形术患儿术中大量失血的危险因素。
Objective To identify the risk factors for massive blood loss in pediatric patients with congenital scoliosis undergoing posterior hemivertebra resection.Methods The clinical data of pediatric patients with congenital scoliosis who underwent posterior hemivertebra resection in our hospital from May 2017 to July 2019 were collected.The children were divided into group A(massive blood loss,blood loss/blood volume≥30%)and group B(non-massive blood loss,blood loss/blood volume<30%)according to intraoperative blood loss.Logistic regression analysis was used to stratify the risk factors.Results A total of 108 pediatric patients were enrolled in the study including 29 cases in group A and 79 cases in group B,respectively.There were significant differences in the preoperative Cobb angle,body mass index,the number of fused levels,the number of screws and operative time between the two groups(P<0.05).Logistic regression analysis showed that the preoperative Cobb angle,operative time,the number of fused levels and body mass index were the risk factors for intraoperative massive blood loss(P<0.05).Conclusion Lower BMI,larger Cobb angle,increased operative time and more fused levels are the risk factors for massive blood loss in pediatric patients with congenital scoliosis undergoing posterior hemivertebra resection.
作者
李多依
刘昊楠
张建敏
李立晶
王芳
张学军
Li Duoyi;Liu Haonan;Zhang Jianmin;Li Lijing;Wang Fang;Zhang Xuejun(Department of Anesthesiology,Beijing Children′s Hospital,Capital Medical University National Center for Children′s Health,Beijing 100045,China;Department of Orthopedics,Beijing Children′s Hospital,Capital Medical University National Center for Children′s Health,Beijing 100045,China)
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2021年第4期427-429,共3页
Chinese Journal of Anesthesiology
关键词
脊柱侧凸
失血
手术
儿童
危险因素
Scoliosis
Blood loss,surgery
Child
Risk factors
