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时间:2020-05-18
《围手术期库存红细胞悬液复温后输注的临床效果分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、福建医药杂志2015年4月第37卷第2期FujianMedJ,April2015,Vo1.37,No.2·临床研究与报道·围手术期库存红细胞悬液复Ir日mE口:输注的临床效果分析福建医科大学附属第二医院手术室(泉州362000)黄倩王宏梗范春梅。李柏忠黄伟玲。倪秀琴周培萱【摘要】目的观察围手术期库存红细胞悬液在不同温度复温后输注的临床效果。方法选择择期手术成年患者8O例,均为在围手术期接受临床输注红细胞悬液,随机均分为4组,按复温水温起始温度不同分为1组(32℃)、2组(35℃)、3组(38℃)及对照组,每组2O例,每例输注红细胞悬液2u。红细胞悬液由血库取出后,对
2、照组红细胞悬液放置于室温中30min以上再进行输注,1~3组分别在起始温度为32、35、38℃水中复温15min后再进行输注。观察输注前3Omin和输注后30min患者肛温变化、输注过程中血管痉挛性收缩发生率、麻醉苏醒期寒战发生率。结果对照组和1组患者输注后体温明显低于输注前体温(PO.05),2组和3组患者输注后体温分别与对照组输注后比较差异有统计学意义(P<0.05)。2组和3组患者均未发生血管痉挛性收缩而影响输注速度,明显好于对照组和1组(P1组>2组>3组,
3、4组之间比较差异有统计学意义(P4、in,ZHOUPeixuan.DepartmentofOperation,theSecondA,filiatedHospital,FujianMedicalUniversity,Quanzhou,Fujian362000,China[Abstract]ObjectiveToobservetheclinicaleffectofdifferentpreheatingtemperatureofredbloodcellsinreservebeforetransfusionduringtheoperation.MethodsEightyadultpatients(ASAI一Ⅱ5、)weredividedrandomlyintofourgroups(group1,group2,group3andgroupC,n一20each).Allpatientsweretransfusedintravenouslywithredbloodcellsinreservedur—ingtheoperation.RedbloodcellsinreserveinGroup1-3werepreheatedinwaterwithwhichtemperaturewas32,35,38℃respectivelyfor15minutesbeforetransfusion.R6、edbloodcellsinreserveinGroupCwereputintheoperationroomthatroomtemperaturewasnormalfor30minutes.Theanustemperatureofpatientswasrecordedatthetimepointof30minutesbeforeand3Ominutesafterthebloodtransfusion.Theratesofvascularconvulsioncontractduringthebloodtransfusionandtheratesofshiveringd7、uringtheanesthesiarecoveryperiodaftertheoperationwererecorded.ResultsAfterthebloodtransfusion,thebodytemperatureofthepatientsingroupCwassignificantlylowerthanthatbeforethebloodtransfusion(P
4、in,ZHOUPeixuan.DepartmentofOperation,theSecondA,filiatedHospital,FujianMedicalUniversity,Quanzhou,Fujian362000,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
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