在妇科手术中术前贫血和术后结果:单中心回顾性研究
Mengyu Zhang1, Shiqiong Yuan2, Xin Yang1
1Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, People's Republic of China.
International journal of women's health
|October 29, 2025
概括
在妇科患者手术前的贫血显著增加并发症和红细胞输血的风险. 通过患者血液管理 (PBM) 早期治疗贫血可以改善手术结果.
科学领域:
- 妇科 妇科 妇科 妇科
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 手术前贫血是妇科手术中常见的疾病.
- 贫血会对外科手术后的结果产生负面影响,包括并发症和资源利用.
研究的目的:
- 确定妇科病房患者手术前贫血的发病率和临床特征.
- 评估手术前贫血对术后结果的影响,如并发症,红细胞输血,停留时间 (LOS) 和住院费用.
主要方法:
- 从2023年4月到2024年1月,对2519名妇科住院患者进行了回顾性分析.
- 手术前的贫血定义为血红蛋白 (Hb) <120 g/L.
- 通过逻辑回归来比较贫血和非贫血组之间的术后结果.
主要成果:
- 手术前贫血的发生率为30.8%.
- 贫血患者经历了更高的外科手术期间红细胞输血率 (10.7%vs1.7%) 和并发症 (4.4%vs0.9%),更长的LOS,以及成本增加.
- 多变量分析发现手术前贫血是并发症的重要危险因素 (aOR = 6.259).
- 患者血液管理 (PBM) 策略,特别是手术前红细胞输血,与并发症的减少有关 (aOR = 0.032).
结论:
- 术前贫血很普遍,并且与妇科外科手术中不良的术后结果有关.
- 积极管理贫血和实施PBM策略对于改善患者结果和降低医疗保健成本至关重要.
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