使用患者血液管理进行关节整形术后的输血率和相关并发症:一项案例对照研究
Jun-Young Yoo1, Jun-Il Yoo2, Yong-Chan Ha1
1Department of Orthopedic Surgery, Seoul Bumin Hospital, Seoul, Korea.
Clinics in orthopedic surgery
|August 11, 2025
概括
患者血液管理 (PBM) 在关节整形术患者中显著降低了血液流失和输血率. 这种方法可以通过优化血红蛋白水平和管理低酸血症来改善临床结果.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 关节整形与严重的血液损失和输血需求有关.
- 患者血液管理 (PBM) 策略旨在通过尽量减少血液损失和输血需求来优化患者的治疗结果.
- 静脉注射铁,如铁性碳酸,通常用于PBM协议,但可能与低度血症有关.
研究的目的:
- 在接受患者血液管理 (PBM) 协议的关节整形患者中,比较输血率和血液损失.
- 在PBM计划中进行关节整形手术的患者中,对静脉注射铁补充剂后低酸血的发生率进行调查.
主要方法:
- 一组233名接受关节整形手术的患者接受了PBM.
- 为了进行比较,使用了2010-2019年466名患者的倾向分数匹配的对照组.
- 关键结局包括血红蛋白水平,输血率,血液损失和低酸血症发生率.
主要成果:
- 与对照组相比,PBM组表现出明显较低的手术内流血 (116毫升与268毫升相比) 和输血率 (15%与41%相比).
- 手术后的血红蛋白水平在手术后的第二天在PBM组显著更高.
- 低酸血症发生在23%的患者手术后,在两周内降至7.1%,没有相关并发症.
结论:
- 患者血液管理 (PBM) 有效地减少了关节整形术中的血液损失和输血需求.
- PBM 协议似乎与改善的临床结果有关,包括更好的血红蛋白管理.
- 虽然低血是静脉注射铁的潜在副作用,但它是短暂的,在这个PBM队列中没有并发症.
相关概念视频
Blood Transfusion
804
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
804
Blood Transfusion and Agglutination
11.2K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
11.2K
Bone Marrow Sampling and Transplants
495
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
495
Tissue Transplantation
519
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
519


