摘要
目的:探讨研究思双侧全膝关节置换术后输血的危险性因素。方法:选取2015年5月-2017年5月我院收治初次进行双侧全膝关节置换术的患者200例,根据患者术后的输血情况分为研究组和对照组,研究组患者需要进行输血治疗,对照组患者进行费非治疗。采用Logistic回归分析以及单因素分析对有关输血治疗的危险性因素进行筛选。结果:单因素分析结果的基础上再经Logistic回归分析后显示手术时间、术后1dHb百分率的下降以及术前APTT均为影响术后输血的危险因素(P<0.05),术前PT对术前输血并没有显著影响。结论:患者行双侧全膝关节置换术手术时间、术后1d血红蛋白(Hd)的百分率下降情况以及术前APTT等都是影响术后输血的关键性危险因素,若能做到对这些因素进行及时评估,将有利于减少和预防术后患者出现贫血。
objective: to investigate the risk factors of transfusions after bilateral total knee replacement. Method:selection in May 2015-the first time in May 2017 in our hospital in 200 patients with bilateral total knee replacement, according to the patients with postoperative blood transfusion is divided into research group and the control group, the team the need for blood transfusions in patients with treatment, control group patients with cost of treatment. Logistic regression analysis and single factor analysis were used to screen the risk factors of blood transfusion therapy. Results:based on the results of single factor analysis and Logistic regression analysis according to operation time, postoperative 1 after declining percentage DHB and preoperative APTT were risk factors for postoperative blood transfusion(P < 0.05), preoperative PT of preoperative blood transfusion and no significant influence. Single conclusion patients with bilateral total knee replacement operation time, postoperative 1 d percentage decline of hemoglobin(Hd) and preoperative APTT were the key risk factors of postoperative blood transfusion, if can be timely assessment of these factors, will be conducive to reduce and prevent postoperative patients with anemia.
出处
《中国妇幼健康研究》
2017年第S4期142-142,共1页
Chinese Journal of Woman and Child Health Research
关键词
双侧全膝关节置换术
输血治疗
危险因素
术后贫血
bilateral total knee arthroplasty
Blood transfusion therapy
Risk factors
Postoperative anemia
