在实施患者血液管理计划后对结肠直肠外科选择患者的短期影响的评估:多中心回顾分析
Filippo Carannante1,2, Gabriella Teresa Capolupo1,2, Manuel Barberio3
1Colorectal Surgery Clinical and Research Unit, Fondazione Policlinico Universitario Campus Bio-Medico, University Campus Bio-Medico, Via Àlvaro del Portillo 200, 00128 Rome, Italy.
Journal of clinical medicine
|August 10, 2024
概括
实施患者血液管理 (PBM) 计划显著减少了大结直肠手术中的术后输血. 这种优化通过确保只进行适当的输血来改善临床结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 大型结肠直肠手术患者患贫血的风险很高,需要输血.
- 输血与炎症和瘤并发症有关.
- 优化患者血液管理 (PBM) 对于改善手术结果至关重要.
研究的目的:
- 评估PBM计划对输血率和临床结果的影响.
- 评估PBM在减少不必要的输血方面的有效性.
- 调查PBM实施与结直肠外科手术中术后结果之间的关联.
主要方法:
- 对2495名接受选择性大结直肠手术的患者进行了回顾性审查.
- 在PBM前 (2017-2018) 和PBM后 (2021-2022) 实施时期的比较.
- 分析了两组的输血率,手术时间和贫血检测.
主要成果:
- 后PBM组显示,手术前,手术内和手术后输血率显著降低.
- 在PBM后的组中,操作时间显著缩短.
- 贫血检测在PBM后增加,但输血率下降,表明更适当的使用.
结论:
- 在大结直肠手术中,PBM计划的实施显著减少了手术前输血.
- 优化的输血程序改善了短期的临床结果.
- PBM提高了输血的适当性,导致更好的患者管理.
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