腰椎融合术中自体血回输对红细胞影响的临床观察

Effect of Autologous Blood Transfusion on Red Blood Cells in Lumbar Fusion

摘要: 目的：探讨在腰椎融合术中采用自体血回输对患者红细胞的影响分析。方法：2018年1月至11月，我院腰椎退变性疾病行融合手术并采用自体血回输患者30例，男10例，女20例，年龄45~77岁，平均57.8岁。对术前、术后1、4、7天血红蛋白和红细胞压积进行检测。结果：30例患者自体血回输后均未出现输血不良反应，手术过程顺利，平均回输血量290 mL，平均失血量660 mL。患者术后1、4、7天血红蛋白和红细胞压积与术前比较有明显差异。结论：在腰椎融合术中采用自体血回输有效、安全，能维持患者的红蛋白和红细胞压积，减少异体血的使用，促进患者的快速康复。

Abstract: Objective: To investigate the effect of autologous blood transfusion on red blood cells in patients with lumbar fusion. Methods: From January to November 2018, 30 patients, including 10 males and 20 females, aged 45 - 77 years, with an average age of 57.8 years, underwent fusion surgery for lumbar degenerative diseases and adopted autologous blood transfusion in our hospital. He-moglobin and hematocrit were detected preoperatively, 1, 4, and 7 days after surgery. Results: Af-ter autologous blood transfusion, none of the 30 patients had adverse reactions. The operation was smooth, with an average blood transfusion volume of 290 mL and an average blood loss of 660 mL. There were significant differences in hemoglobin and hematocrit between the patients 1, 4 and 7 days after surgery and those before surgery. Conclusion: Autologous blood transfusion is effective and safe in lumbar fusion surgery, which can maintain the patient's erythrocyte and erythrocyte volume, reduce the use of allogeneic blood, and promote the rapid recovery of patients.