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| Curative effect observation of autologous erythropheresis of unilateral total hip arthroplasty |
| FANG Kun1,2, REN Xiaoning2, SONG Xuezhen2, WANG Hua3 |
1 School of Clinical Medical,Binzhou Medical University,Yantai 264003,P.R.China;
2 Department of Transfusion, Weihai Municipal Hospital;
3 Department of Hematology,Yantai Affiliated Hospital of Binzhou Medical University |
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Abstract Objective To provide a more efficient autologous blood preparationstrategy for total hip replacement (THR) and promote the popularization and application of autologous erythropheresis technology in THR surgery.Methods 16 patients underwent unilateral total hip replacement were chosen as the research objects (apheresis group).These patients treated with preoperative autologous erythropheresis and allogeneic blood for intraoperative transfusion.18 THR patients were chosen randomly who were only transfused allogeneic bloods as control objects (control group). The data of blood routine in pre-erythropheresis or pre-operation, the intraoperative blood loss,the volume of allogeneic blood transfusion and the first day blood routine post-operation in were collected and analyzed statistically. Results The volume of allogeneic erythrocyte in the apheresis group was (1.56±1.41) U,compared with (2.67±1.14) U of control group,the difference was statistically significant. However, the rest observation index differences were not statistically significant. Conclusion The application of autologous erythropheresis technology in THR which has a large amount of blood preparation could reduce the amount of transfusion of allogeneic erythrocyte,but caused no significant changes in blood routine indicators and intraoperative blood loss, which is worthy to being used for THR surgery.
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Received: 04 February 2018
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[1] 姜启芳,邱赛文,汪丽琴.人工全髋关节置换术围手术期自体血回输的应用研究[J] .中华全科医学,2016,14(1):47-49.
[2] 张鲁平,王同显,尹凤媛,等.骨科手术患者储存式自身输血效果分析[J] .中国输血杂志,2010,23(9):710.
[3] 王剑锋,陈春红,张立岗.储存式自体血回输在骨科择期手术中的应用[J] .临床医学与检验,2011,8(8):985.
[4] 王振芳.术前1 d采自体浓缩红细胞在骨科手术中的应用[J] .中国卫生检验杂志,2015,25(19):3401-3402.
[5] 周俊,晋晶,武广隆,等.成分单采技术在预存式自体输血中的应用研究[J] .中国输血杂志,2016,29(3):239-242.
[6] 安志丹.成分单采技术在预存式自体输血中的可行性及安全性分析[J] .河南医学研究,2017,26(14):2538-2540.
[7] Foss N B,Kehlet H.Hidden blood loss after surgey for hip fracture[J] .Bone Joint Surg Br,2006,88(8):1053-1059.
[8] Kim M,Kim H S,Kim Y H,et al.Comparison of whole blood collection and double-unit erythroapheresis in preoperative autologous blood donation[J] .Transfus ApherSci,2013,49(3):542-547.
[9] 孙桂香,席朝运,李卉,等.储存式单采自体红细胞在腹膜后肿瘤择期手术中的应用[J] .标记免疫分析与临床,2015,22(4):275-277. |
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