ANH对中央型前置胎盘剖腹产患者异体输血的影响及安全性分析.docVIP

ANH对中央型前置胎盘剖腹产患者异体输血的影响及安全性分析 白凤姬 程建红 王卫娟 潘国艳 闫少菲 廊坊市第四人民医院妇产科 霸州市第三医院急诊科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨急性等容血液稀释 (ANH) 对中央型前置胎盘剖腹产患者异体输血的影响及安全性。方法:将60例中央型前置胎盘剖腹产产妇随机分为观察组与对照组, 每组30例。观察组行术前ANH, 对照组术前无特殊处理。比较观察组产妇ANH前后血红蛋白 (Hb) 、红细胞比容 (Hct) 及碱剩余 (BE) 、血乳酸 (LAC) 等血气指标;比较2组产妇术后2hHb、Hct、PLT及异体输血率;记录2组新生儿脐动脉血Hb、Hct、BE、Lac及Apgar评分。结果: (1) 与ANH前相比, 观察组ANH后Hb、Hct及BE水平有所下降, Lac有所升高, 但差异无统计学意义 (P0.05) ; (2) 观察组术后2hHb、Hct、PLT平均水平明显高于对照组 (P0.05) , 异体输血率明显低于对照组 (P0.05) ; (3) 2组新生儿脐动脉血Hb、Hct、BE、Lac均值及Apgar评分比较, 差异无统计学意义 (P0.05) 。结论:ANH对中央型前置胎盘剖腹产产妇及胎儿血气指标无不良影响, 可有效减少术中红细胞丢失和异体血输注, 是一种安全有效的输血方式。 关键词： 急性等容血液稀释; 中央型前置胎盘; 剖腹产; 血气指标; 异体输血; 收稿日期：2017-07-05 Influence of acute normovolaemic haemodilution on allogeneic blood transfusion and safety in cesarean section for patients with central placenta previa BAI Fengji CHENG Jianhong WANG Weijuan PAN Guoyan YAN Shaofei Department of Obstetrics and Gynecology, the Fourth Peoples Hospital of Langfang City; Department of Emergency, the Third Hospital of Bazhou City; Abstract： Objective:To study the influence of acute normovolaemic haemodilution (ANH) on allogeneic blood transfusion and safety in cesarean section for patients with central placenta previa.Method:A total of 60 cases of cesarean section for patients with central placenta previa were divided randomly into observation group and control group, 30 cases in each group.Observation group was received ANH before the operation, and control group was received the normal treatment.Hemoglobin (Hb) , hematocrit (Hct) , base excess (BE) , blood lactic acid (LAC) before and after ANH were compared in observation group.Hb, Hct, platelet (PLT) and rate of allogeneic blood transfusion postoperative 2 hwere compared between two groups.The levels of Hb, Hct, BE and Lac in neonatal umbilical arterial blood and neonatal Apgar scores were recorded in two groups.Result: (1) Compared with before ANH, the levels of Hb, Hct and BE declined