Research of the Blood Management Strategy in the Perioperative Period of Arthroplasty

Zeng Zhaoyong; Wei Luqing; Zhang Jianping

Abstract：Objective To investigate the blood management strategy methods in the perioperative period of arthroplasty. Methods From July 2010 to July 2015,132 cases of patients underwent arthroplasty in our hospital were randomly divided into four groups:the experimental group(32 cases)received preoperative autologous blood donation(PAD)combined with acute nor-movolemic hemodihtion(ANH),control group one(30 cases)received simple adoption PAD,40 cases in the control group two only received ANH,30 cases in the control group three only received closed suction drainage(CSD),the postoperative blood loss and allogeneic blood infusion amount of the four groups were compared. Results 1 d after surgery,the RBC,Hb and HCT of the experimental group and control group had no significant change(P >0. 05),while the control group two and control group three were significantly lower(P <0. 05);The hospital stay times of the four groups were not significantly different(P > 0. 05),but the anemia and the total complication rate of experimental group were significantly lower than those in the control group( P <0. 05);acute blood loss and allogeneic blood transfusions in the experimental group was significantly lower than the control group (P <0. 05). Conclusion PAD and ANH applied in joint arthroplasty perioperative blood management helps to reduce the a-mount of postoperative allogeneic blood transfusion and acute blood loss after surgery,and the patient′s vital signs remain stable. The method is worthy of promotion in clinical applications.