成人退变性脊柱侧凸后路手术患者隐性失血的影响因素及护理策略

顾锦宇; 季萍; 赵书杰; 赵娟

doi:10.7619/jcmp.20233951

成人退变性脊柱侧凸后路手术患者隐性失血的影响因素及护理策略

Influencing factors and nursing strategies of hidden blood loss in patients with adult degenerative scoliosis undergoing posterior approach

摘要

摘要:
目的探讨成人退变性脊柱侧凸(ADS)后路手术患者隐性失血(HBL)的影响因素及护理策略。
方法选取行脊柱后路手术治疗的80例ADS患者为研究对象。回顾性收集患者人口学特征和围术期失血相关指标。采用多因素线性回归分析法分析HBL的影响因素。
结果手术时间长、肌肉厚度大和接受异体输血是ADS患者HBL升高的独立危险因素(P < 0.05); 女性、使用自体血回输和术中使用保温毯是HBL升高的独立保护因素(P < 0.05)。
结论针对上述HBL升高的独立危险因素, 护理人员应做好术前准备，加强术中ADS患者的体温管理，进而加快患者的康复，减少术后并发症的发生。

Abstract:
Objective To investigate the influencing factors and nursing strategies of hidden blood loss (HBL) in patients with adult degenerative scoliosis (ADS) undergoing posterior approach.
Methods Eighty ADS patients who underwent posterior spinal surgery were selected as the study objects.Demographic characteristics and perioperative blood loss were retrospectively collected.The influencing factors of HBL were analyzed by multi-factor linear regression analysis.
Results Operation time, muscle thickness and allogeneic blood transfusion were independent risk factors for increased HBL in ADS patients (P < 0.05); female, autologous blood transfusion and intraoperative thermal blanket were independent protective factors for elevated HBL (P < 0.05).
Conclusion In view of the above independent risk factors of elevated HBL, the nursing staff should make preoperative preparation and strengthen the temperature management of ADS patients during the operation, so as to accelerate the recovery of patients and reduce the occurrence of postoperative complications.

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