产前贮存式自体采血对妊娠结局的影响

目的:探讨产前贮存式自体采血(PABD)对孕妇妊娠结局的影响。方法:选取2015年1—12月在桂林医学院附属医院产科定期产检并分娩,同时符合PABD适应证的孕妇404例,其中进行自体采血者为研究组共203例,未进行自体采血者为对照组共201例,比较2组孕妇产后24 h出血量、新生儿出生体质量及Apgar评分、产后24 h血红蛋白(Hb)、血细胞比容(HCT)、血小板计数(PLT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)情况;同时分析研究组采血前及采血后7 d,Hb、HCT、PLT、PT、APTT及FIB的变化情况。结果:2组孕妇的年龄,孕龄,产前Hb、PL...

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Bibliographic Details
Published in国际生殖健康/计划生育杂志 Vol. 37; no. 1; pp. 45 - 48
Main Author 乐江华;唐桂艳;何燕芳;彭凌湘
Format Journal Article
LanguageChinese
Published 541001,桂林医学院附属医院产科 2018
Subjects
输血,自体;产后出血;妊娠结局;孕妇
输血,自体
Blood transfusion,autologous
Pregnant women
妊娠结局
Pregnancy outcome
Postpartum hemorrhage
孕妇
产后出血
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ISSN1674-1889
DOI10.3969/j.issn.1674-1889.2018.01.010

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Summary:目的:探讨产前贮存式自体采血(PABD)对孕妇妊娠结局的影响。方法:选取2015年1—12月在桂林医学院附属医院产科定期产检并分娩,同时符合PABD适应证的孕妇404例,其中进行自体采血者为研究组共203例,未进行自体采血者为对照组共201例,比较2组孕妇产后24 h出血量、新生儿出生体质量及Apgar评分、产后24 h血红蛋白(Hb)、血细胞比容(HCT)、血小板计数(PLT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)情况;同时分析研究组采血前及采血后7 d,Hb、HCT、PLT、PT、APTT及FIB的变化情况。结果:2组孕妇的年龄,孕龄,产前Hb、PLT、HCT、PT、APTT及FIB比较,差异均无统计学意义(P>0.05)。研究组与对照组的妊娠结局及各项血液指标比较显示,2组产后24 h出血量、新生儿出生体质量、1分钟Apgar评分、5分钟Apgar评分及Hb、PLT、HCT、PT、APTT、FIB情况比较,差异均无统计学意义(P>0.05)。研究组采血后7 d的Hb、HCT、PLT、PT、APTT及FIB与采血前比较,差异均无统计学意义(P>0.05)。结论:产前PABD对孕妇妊娠结局无不良影响,在产妇需要时能及时提供经济、有效的自体血液。
Bibliography:Objective:To evaluate the effects of predeposit autologous blood donation(PABD)on the pregnancy outcome of pregnant women.Methods:A total of 404 pregnant women in our department of obstetrics from January to December 2015,who were in accordance with the PABD indications,were included in this study.There were 203 pregnant women undergoing PABD(the research group,n=203),and 201 pregnant women not enrolling in PABD(the control group,n=201).The postpartum haemorrhage volume in 24 hours,neonatal birth weight,Apgar score,24 hours postpartum hemoglobin(Hb),hematocrit(HCT),blood platelet count(PLT),prothrombin time(PT),activated partial thrombopastin time(APTT)and fibrinogen(FIB)were recorded and analyzed.The Hb、HCT、PLT、PT、APTT、FIB before PABD and 7 days after PABD in the research group were analyzed too.Results:There were no significant differences between the two groups in the maternal age,gestational age,the prenatal Hb,PLT,HCT,PT,APTT and FIB(all P>0.05).There were no significant differences between the two gr
ISSN:1674-1889
DOI:10.3969/j.issn.1674-1889.2018.01.010