患者血液管理,以尽量减少在产后期间的输血
Kwan Heup Song1, Eun Saem Choi2, Ho Yeon Kim1
1Department of Obstetrics and Gynecology, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Korea.
Obstetrics & gynecology science
|August 8, 2023
概括
患者血液管理策略对于尽量减少产后出血 (PPH) 和相关输血至关重要. 本综述审查了优化孕妇血液管理的指南,以减少PPH并发症.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 患者血液管理 (PBM) 是基于证据的,旨在通过血红蛋白优化和血液静止来减少手术性血液损失.
- 由于血液捐献和储存减少,COVID-19大流行增加了PBM的重要性.
- 产后出血 (PPH) 率的增加需要有效的输血策略来缓解并发症和挽救生命.
研究的目的:
- 系统地审查现有的关于孕妇流血管理的指南.
- 确定减少怀孕期间贫血和分娩期间出血的策略.
- 探索预防产后出血和优化贫血恢复的方法.
主要方法:
- 临床指南的系统审查.
- 在产科护理中分析PBM策略.
- 对怀孕期间治疗贫血和出血的建议进行评估.
主要成果:
- 指南提供了在分娩前,分娩期间和分娩后管理贫血的方法.
- 战略重点是尽量减少血液损失和优化输血实践.
- 证据支持PBM原则在减少PPH和输血需求方面.
结论:
- 实施全面的患者血液管理对于解决PPH的增加至关重要.
- 坚持指导方针推的策略可以改善经历或有出血风险的孕妇的结果.
- 进一步的研究可能会为特定的产科情景完善PBM协议.
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