2012Zhongguo yiyuan ganranxue zazhiRequires access

Effect and infection between use of autologous blood transfusion and homologous blood transfusion after surgery for ruptured tubal pregnancy

Yanli Wang

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Abstract

OBJECTIVE To compare the effect and infection of using autologous blood transfusion and homologous blood transfusion after surgery for ruptured tubal pregnancy.METHODS The effect and infection between 31 cases of homologous blood transfusion and 38 cases of autologous blood transfusion after ruptured tubal pregnancy surgery were compared.RESULTS C-reactive protein(CRP),neutrophils and hemoglobin were not significantly different(P0.05) in two groups.CRP in two groups 1h after transfusion and 1 d,2 d after surgery was significantly higher than that before transfusion(2.64±1.08 mg/L vs.15.50±5.60mg/L,P0.05;2.64±1.08 mg/L vs.93.80±16.40 mg/L,P0.05,2.64±1.08 mg/L vs.84.90±26.40mg/L,P0.05;3.00±1.05 mg/L vs.12.50±2.406mg/L,P0.05;3.00±1.05 mg/L vs.84.60±21.20 mg/L,P0.05;3.00士1.05 mg/L vs.70.10±30.40 mg/L).Compared with that at postoperative 1 d,CRP in homologous blood transfusion group 2 d after surgery decreased but had not significant difference.While compared with that at postoperative 1 d,CRP in autologous blood transfusion group 2 d after surgery was significantly lower(P0.05).Compared with homologous blood transfusion group,CRP in the autologous blood transfusion group at postoperative transfusion 1 h,1 d and 2 d were lower(P0.05).Neutrophils in two groups after transfusion 1 h,after surgery 1d,2d was significantly higher than that before transfusion(P0.05).Compared with that at postoperative 1 d,neutrophilsin homologous blood transfusion group 2 d after surgery decreased evidently but had no significant difference(P0.05).While compared with that in homologous blood transfusion group at postoperative 1 d,neutrophils in autologous blood transfusion group 2 d after surgery was significantly lower(P0.05).Compared with that in homologous blood transfusion group,neutrophils in the autologous blood transfusion group at postoperative transfusion 1 h and after surgery 1 d and 2 d were lower(P0.05).Hemoglobin in two groups 1 h after transfusion and 1 d after surgery was significantly lower than that before transfusion(P0.05) Compared with that at postoperative 1 d,hemoglobin in homologous blood transfusion group 2 d after surgery had no significant difference(P0.05).While compared with that at postoperative 1 d,hemoglobin in autologous blood transfusion group 2 d after surgery was significantly higher(P0.05),but had no significant difference compared with that before transfusion(P0.05). CONCLUSION Autologous blood transfusion helps patients recover faster and reduces the risk of infection during hospitalization.Autologous blood transfusion should be widely used in clinic.

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What this paper is about

OBJECTIVE To compare the effect and infection of using autologous blood transfusion and homologous blood transfusion after surgery for ruptured tubal pregnancy.METHODS The effect and infection between 31 cases of homologous blood transfusion and 38 cases of autologous blood transfusion after ruptured tubal pregnancy surgery were compared.RESULTS C-reactive protein(CRP),neutrophils and hemoglobin were not significantly different(P0.05) in two groups.CRP in two groups 1h after transfusion and 1 d,2 d after surgery was significantly higher than that before transfusion(2.64±1.08 mg/L vs.15.50±5.60mg/L,P0.05;2.64±1.08 mg/L vs.93.80±16.40 mg/L,P0.05,2.64±1.08 mg/L vs.84.90±26.40mg/L,P0.05;3.00±1.05 mg/L vs.12.50±2.406mg/L,P0.05;3.00±1.05 mg/L vs.84.60±21.20 mg/L,P0.05;3.00士1.05 mg/L vs.70.10±30.40 mg/L).Compared with that at postoperative 1 d,CRP in homologous blood transfusion group 2 d after surgery decreased but had not significant difference.While compared with that at postoperative 1 d,CRP in autologous blood transfusion group 2 d after surgery was significantly lower(P0.05).Compared with homologous blood transfusion group,CRP in the autologous blood transfusion group at postoperative transfusion 1 h,1 d and 2 d were lower(P0.05).Neutrophils in two groups after transfusion 1 h,after surgery 1d,2d was significantly higher than that before transfusion(P0.05).Compared with that at postoperative 1 d,neutrophilsin homologous blood transfusion group 2 d after surgery decreased evidently but had no significant difference(P0.05).While compared with that in homologous blood transfusion group at postoperative 1 d,neutrophils in autologous blood transfusion group 2 d after surgery was significantly lower(P0.05).Compared with that in homologous blood transfusion group,neutrophils in the autologous blood transfusion group at postoperative transfusion 1 h and after surgery 1 d and 2 d were lower(P0.05).Hemoglobin in two groups 1 h after transfusion and 1 d after surgery was significantly lower than that before transfusion(P0.05) Compared with that at postoperative 1 d,hemoglobin in homologous blood transfusion group 2 d after surgery had no significant difference(P0.05).While compared with that at postoperative 1 d,hemoglobin in autologous blood transfusion group 2 d after surgery was significantly higher(P0.05),but had no significant difference compared with that before transfusion(P0.05). CONCLUSION Autologous blood transfusion helps patients recover faster and reduces the risk of infection during hospitalization.Autologous blood transfusion should be widely used in clinic.

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Available abstract

OBJECTIVE To compare the effect and infection of using autologous blood transfusion and homologous blood transfusion after surgery for ruptured tubal pregnancy.METHODS The effect and infection between 31 cases of homologous blood transfusion and 38 cases of autologous blood transfusion after ruptured tubal pregnancy surgery were compared.RESULTS C-reactive protein(CRP),neutrophils and hemoglobin were not significantly different(P0.05) in two groups.CRP in two groups 1h after transfusion and 1 d,2 d after surgery was significantly higher than that before transfusion(2.64±1.08 mg/L vs.15.50±5.60mg/L,P0.05;2.64±1.08 mg/L vs.93.80±16.40 mg/L,P0.05,2.64±1.08 mg/L vs.84.90±26.40mg/L,P0.05;3.00±1.05 mg/L vs.12.50±2.406mg/L,P0.05;3.00±1.05 mg/L vs.84.60±21.20 mg/L,P0.05;3.00士1.05 mg/L vs.70.10±30.40 mg/L).Compared with that at postoperative 1 d,CRP in homologous blood transfusion group 2 d after surgery decreased but had not significant difference.While compared with that at postoperative 1 d,CRP in autologous blood transfusion group 2 d after surgery was significantly lower(P0.05).Compared with homologous blood transfusion group,CRP in the autologous blood transfusion group at postoperative transfusion 1 h,1 d and 2 d were lower(P0.05).Neutrophils in two groups after transfusion 1 h,after surgery 1d,2d was significantly higher than that before transfusion(P0.05).Compared with that at postoperative 1 d,neutrophilsin homologous blood transfusion group 2 d after surgery decreased evidently but had no significant difference(P0.05).While compared with that in homologous blood transfusion group at postoperative 1 d,neutrophils in autologous blood transfusion group 2 d after surgery was significantly lower(P0.05).Compared with that in homologous blood transfusion group,neutrophils in the autologous blood transfusion group at postoperative transfusion 1 h and after surgery 1 d and 2 d were lower(P0.05).Hemoglobin in two groups 1 h after transfusion and 1 d after surgery was significantly lower than that before transfusion(P0.05) Compared with that at postoperative 1 d,hemoglobin in homologous blood transfusion group 2 d after surgery had no significant difference(P0.05).While compared with that at postoperative 1 d,hemoglobin in autologous blood transfusion group 2 d after surgery was significantly higher(P0.05),but had no significant difference compared with that before transfusion(P0.05). CONCLUSION Autologous blood transfusion helps patients recover faster and reduces the risk of infection during hospitalization.Autologous blood transfusion should be widely used in clinic.

Key concepts: Medicine, Blood transfusion, Autologous blood, Hemoglobin, Surgery, Homologous chromosome, Pregnancy, Anesthesia

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