圍手術(shù)期庫(kù)存紅細(xì)胞懸液復(fù)溫后輸注的臨床效果分析.pdf

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1、福建醫(yī)藥雜志2015年4月第37卷第2期FujianMedJ，April2015，Vo1．37，No．2·臨床研究與報(bào)道·圍手術(shù)期庫(kù)存紅細(xì)胞懸液復(fù)Ir日mE口：輸注的臨床效果分析福建醫(yī)科大學(xué)附屬第二醫(yī)院手術(shù)室(泉州362000)黃倩王宏梗范春梅。李柏忠黃偉玲。倪秀琴周培萱【摘要】目的觀察圍手術(shù)期庫(kù)存紅細(xì)胞懸液在不同溫度復(fù)溫后輸注的臨床效果。方法選擇擇期手術(shù)成年患者8O例，均為在圍手術(shù)期接受臨床輸注紅細(xì)胞懸液，隨機(jī)均分為4組，按復(fù)溫水溫起始溫度不同分為1組(32℃)、2組(35℃)、3組(38℃)及對(duì)照組，每組2O例，每例輸注紅細(xì)胞懸液2u。紅細(xì)胞懸液由血庫(kù)取出后，對(duì)

2、照組紅細(xì)胞懸液放置于室溫中30min以上再進(jìn)行輸注，1～3組分別在起始溫度為32、35、38℃水中復(fù)溫15min后再進(jìn)行輸注。觀察輸注前3Omin和輸注后30min患者肛溫變化、輸注過(guò)程中血管痙攣性收縮發(fā)生率、麻醉蘇醒期寒戰(zhàn)發(fā)生率。結(jié)果對(duì)照組和1組患者輸注后體溫明顯低于輸注前體溫(PO．05)，2組和3組患者輸注后體溫分別與對(duì)照組輸注后比較差異有統(tǒng)計(jì)學(xué)意義(P<0．05)。2組和3組患者均未發(fā)生血管痙攣性收縮而影響輸注速度，明顯好于對(duì)照組和1組(P1組>2組>3組，

3、4組之間比較差異有統(tǒng)計(jì)學(xué)意義(P

4、in，ZHOUPeixuan．DepartmentofOperation，theSecondA，filiatedHospital，F(xiàn)ujianMedicalUniversity，Quanzhou，F(xiàn)ujian362000，China[Abstract]ObjectiveToobservetheclinicaleffectofdifferentpreheatingtemperatureofredbloodcellsinreservebeforetransfusionduringtheoperation．MethodsEightyadultpatients(ASAI一Ⅱ

5、)weredividedrandomlyintofourgroups(group1，group2，group3andgroupC，n一20each)．Allpatientsweretransfusedintravenouslywithredbloodcellsinreservedur—ingtheoperation．RedbloodcellsinreserveinGroup1-3werepreheatedinwaterwithwhichtemperaturewas32，35，38℃respectivelyfor15minutesbeforetransfusion．R

6、edbloodcellsinreserveinGroupCwereputintheoperationroomthatroomtemperaturewasnormalfor30minutes．Theanustemperatureofpatientswasrecordedatthetimepointof30minutesbeforeand3Ominutesafterthebloodtransfusion．Theratesofvascularconvulsioncontractduringthebloodtransfusionandtheratesofshiveringd

7、uringtheanesthesiarecoveryperiodaftertheoperationwererecorded．ResultsAfterthebloodtransfusion，thebodytemperatureofthepatientsingroupCwassignificantlylowerthanthatbeforethebloodtransfusion(P