患者血液管理协议的应用,以减少输血率在骨髓瘤的肢体救援手术:一项回顾性研究
Jong Hoon Park1, Hyun Min Lee1, Yeok Gu Hwang2
1Department of Orthopedic Surgery, Korea University Anam Hospital, Koera University College of Medicine, Seoul, Republic of Korea.
Medicine
|January 21, 2026
概括
患者血液管理 (PBM) 在骨髓瘤肢体挽救手术中显著减少了输血和血液体积. 这种方法是有效和安全的,与传统方法相比,并发症更少.
科学领域:
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
- 输血医学 输血医学
背景情况:
- 瘤骨科手术经常需要输血.
- 患者血液管理 (PBM) 是一种减少输血需求的策略.
- 骨髓瘤肢体救援手术对输血管理提出了重大挑战.
研究的目的:
- 评估患者血液管理 (PBM) 实施对输血率和结果的影响.
- 为了比较骨髓瘤四肢救援手术中PBM采用前后的策略.
主要方法:
- 对25名接受骨髓瘤四肢挽救手术的患者进行了回顾性研究 (2008-2016).
- 输血率 (TR),输血量 (TV) 和PBM前 (对照) 和PBM后组之间的并发症的比较.
- 分析与PBM相关的并发症,包括贫血和血液动力学状态变化.
主要成果:
- 与对照组相比,PBM组的输血率 (TR) 和体积 (TV) 显著降低 (P < .01).
- 与PBM相关的并发症是轻微的和可控的,主要是贫血和血红素值降低.
- 对照组的手术部位感染率为13.3%.
结论:
- 患者血液管理 (PBM) 有效地显著降低了骨髓瘤四肢挽救手术的输血需求.
- 与标准护理相比,PBM的实施会带来更好的结果,并发症较少.
- 在瘤骨科手术中,PBM是一种有价值的策略,可以优化患者护理和资源利用.
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