与输血相关的循环过载中的循环节模式.
Krishna G Badami1, Anna Y Zhou1
1Clinical Department, New Zealand Blood Service, Addington, Christchurch, New Zealand.
Transfusion medicine (Oxford, England)
|March 9, 2026
概括
与输血相关的循环过载 (TACO) 在夜间发生的频率是白天的两倍. 这一发现表明,生物钟可能会影响TACO风险,支持避免非紧急的夜间输血.
科学领域:
- 医学研究 医学研究
- 血液学 血液学 血液学
- 循环生物学的日间生物.
背景情况:
- 非紧急的输血经常在一夜之间进行,扰乱了患者的休息和监测.
- 病理生理因素可能会增加在夜间时间发生输血反应的可能性,例如TACO.
研究的目的:
- 为了调查输血相关的循环过载 (TACO) 是否表现出昼夜模式.
- 为了比较白天和夜间输血中TACO的发生率.
主要方法:
- 从2022年1月到2024年12月对新西兰血液监测和输血数据的分析.
- 对TACO,过敏反应和输血相关低血压 (TAH) 的白天和夜间率的比较.
主要成果:
- 大约25%的输血事件发生在一夜之间.
- 夜间TACO率是白天率的两倍 (p < 0.0001),特别是在男性中.
- 过敏反应的白天和夜间发生率相似;晚上TAH发生率较高,但基于小数量.
结论:
- 与白天输血相比,夜间输血与TACO的显著更高率有关.
- TACO的昼夜模式可能受到生物钟,外部压力因素 (如卧床和输血) 以及个体风险因素的影响.
- 这些发现强化了避免非紧急的夜间输血的建议.
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