Journal of Iranian Blood Transfusion
فصلنامه پژوهشی خون
bloodj
Medical Sciences
http://bloodjournal.ir
91
journal91
1027-9520
1735-8248
10.66224/bloodj
fa
jalali
1402
6
1
gregorian
2023
9
1
20
3
online
1
fulltext
fa
فراوانی تزریق خون، میانگین هموگلوبین و عوامل مؤثر در تزریق خون در بیماران با جراحیهای لگن در سال 99 در بیمارستان شهید چمران شیراز
Frequency of blood transfusion, hemoglobin and relative factors in patients with pelvic surgeries in 2020 in Shahid Chamran Hospital, Shiraz, Iran
انتقال خون
Blood Transfusion
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span dir="RTL" lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:">:</span></span></i></b><span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:">شکستگیهای لگن آسیبهای شایعی هستند که منجر به از دست دادن خون میشوند</span></span><span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124"> وبسیاری</span></span></span><span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> از این بیماران به تزریق خون نیاز دارند</span></span></span><span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:">.<span style="color:#202124">این مطالعه برای بررسی فراوانی تزریق خون ، عوامل موثر و ‏آستانه ی تزریق خون در بیماران با</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">جراحی</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">های</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">لگن انجام شد. ‏</span></span></span><br>
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<b><span lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span b="" nazanin="" style="font-family:">مواد و روش ها </span></span></span></b><span lang="FA" style="font-size:21.0pt"><span style="background:#f8f9fa"><span courier="" new="" style="font-family:"><span style="color:#202124">:</span></span></span></span><span lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span b="" nazanin="" style="font-family:"><span style="color:#202124">این مطالعه گذشته نگر مقطعی بر روی بیماران مبتلا به شکستگیهای پروگزیمال ران در سال 1399 در بیمارستان شهید چمران شیراز تحت عمل جراحی لگن قرار گرفته بودند انجام گرفت.فراوانی تزریق خون، میانگین هموگلوبین قبل از تزریق خون وعوامل مرتبط بررسی شد. </span></span></span></span><br>
<b><span lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span b="" nazanin="" style="font-family:">یافتهها</span></span></span></b><b><span lang="FA" style="font-size:21.0pt"><span style="background:#f8f9fa"><span courier="" new="" style="font-family:"><span style="color:#202124">: </span></span></span></span></b><br>
<span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">در</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">این</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">مطالعه از 218 بیمار به 65بیمار (29.8%) خون تزریق شد.<span style="background:#f8f9fa"> ، میانگین هموگلوبین قبل از تزریق خون</span> 10.99گرم در دسی لیتر بود .</span></span></span><span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124">میانگین هموگلوبین دربیمارانی که خون دریافت کرده بودند</span></span></span> <span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124">از بیمارانی که خون دریافت نکرده بودند کمتربود</span></span></span><span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124"> 10.55</span></span></span><span dir="LTR" style="font-size:18.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">±</span></span></span><span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124">1.61)</span></span></span><span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124">درمقابل.</span></span></span> <span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124"> (12.45</span></span></span><span dir="LTR" style="font-size:18.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">±</span></span></span><span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124">1.60</span></span></span> <span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124">(P<0.001, CI95:1.42-2.36).</span></span></span><span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124">.میانگین تعداد کیسه های مصرفی در بیمارانی که خون دریافت کرده بودند </span></span></span><span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124">2.30</span></span></span><span dir="LTR" style="font-size:18.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#202124">±</span></span></span><span dir="LTR" style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124">0.72</span></span></span><span lang="FA" style="font-size:18.0pt"><span arial="" style="font-family:"><span style="color:#202124"> (1 تا 4) کیسه خون بود</span></span></span><span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">.فراوانی تزریق خون به</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">هموگلوبین</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">قبل</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">از</span></span></span> <span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">عمل، نوع بیهوشی ، نوع عمل جراحی ،سابقه ی کم خونی ، طول <span style="background:lime">مدت جراحی وجراح بستگی و جنس داشت.فراوانی تزریق خون به سن بیماران بستگی نداشت.</span></span></span></span><span dir="LTR" style="font-size:18.0pt"><span style="color:#202124"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"> <span style="font-size:18.0pt"><span inherit="" style="font-family:"><span style="color:#202124">.</span></span></span><span lang="FA" style="font-size:18.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#202124">‎</span></span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span b="" nazanin="" style="font-family:">نتیجه گیری </span></span></span></b><span lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> : در این مطالعه میانگین هموگلوبین قبل از تزریق خون بالاتر از مطالعات قبلی بود .به نظر می رسد نیاز به آموزش پزشکان و تاکید بر استفاده از استراتژی تزریق خون محدود به منظور کاهش مصرف خون،کاهش عوارض در بیمارو</span></span></span></span> <span lang="FA" style="font-size:18.0pt"><span style="background:#f8f9fa"><span b="" nazanin="" style="font-family:"><span style="color:#202124"> مدیریت بهتر خون انجام گیرد </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Courier New""></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:18.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:#202124"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:12.0pt">Abstract</span></b><b><span style="font-size:12.0pt"></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><i>Background and Objectives</i></b></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif"">Many of hip fracture patients need transfusion. We examined the frequency of blood transfusion, the relative factors, and the threshold of hemoglobin in hip fracture patients receiving blood transfusion before and during pelvic surgeries.</span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><i>Materials and Methods</i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif"">This retrospective cross-sectional study was conducted on all patients with proximal femur fractures who underwent hip surgery at Shahid Chamran Hospital in Shiraz in 2020. The frequency of blood transfusion, hemoglobin threshold, and the related factors was investigated.</span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><i>Results</i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif"">Out of 218 patients, 65 (29.8%) had received blood out of whom 23 patients (35.4%) had received blood before surgery. The hemoglobin threshold before transfusion was 10.99. The average hemoglobin in patients who received blood was less than the patients who did not receive blood (p< 0.001) 10.55 ‎± ‎1.61 versus 12.45 ‎ ± ‎1.60. The average number of units used in patients who received blood was 2.30 ‎±‎ 0.72 (1 to 4 blood units). The frequency of blood transfusion was related to hemoglobin before surgery, gender, type of anesthesia, type of surgery, history of anemia, duration of surgery, and surgeon. The amount of blood consumption did not depend on the patient age .</span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><i>Conclusions </i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif"">The average hemoglobin before transfusion was higher than previous studies. It seems that the blood transfusion threshold was higher than in previous studies. Considering the risks and costs of blood transfusion, it seems that physicians' education and emphasis on the use of restrictive transfusion strategy can lead to reduction of blood consumption, reduction of complications, and better blood management.</span></span></span></span></span><br>
کلمات کلیدی: تزریق خون, جراحی, هموگلوبین, لگن
Key words: Blood Transfusion, Surgery, Hemoglobin, Hip
196
203
http://bloodjournal.ir/browse.php?a_code=A-10-642-12&slc_lang=fa&sid=1
L.
Kasraian
لیلا
کسرائیان
9100319475328460024982
0000000271754049
No
دانشیار مرکز تحقیقات انتقال خون ـ مؤسسه عالی آموزشی و پژوهشی طب انتقال خون و اداره کل انتقال خون شیراز
M.
Nadgaran
مهسان
نادگران
9100319475328460024983
9100319475328460024983
No
دانشگاه علوم پزشکی شیراز
N.
Naderi
نیما
نادری
9100319475328460024984
9100319475328460024984
No
استادیار مرکز تحقیقات بیهوشی و مراقبتهای ویژه دانشگاه علوم پزشکی شیراز
S.A.R.
Mesbahi
سید امیررضا
مصباحی
Researchcenter_ortho@yahoo.com
9100319475328460024985
9100319475328460024985
Yes
shiraz university of medical science
شیراز ـ ایران ـ کد پستی: 7195864877