LIU Wei, ZHANG Naiying. Effect of thrombelastogram in monitoring hemostatic and coagulation function in patients undergoing elective orthopedic surgery during blood transfusion[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 11-14. DOI: 10.7619/jcmp.202020003
Citation: LIU Wei, ZHANG Naiying. Effect of thrombelastogram in monitoring hemostatic and coagulation function in patients undergoing elective orthopedic surgery during blood transfusion[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 11-14. DOI: 10.7619/jcmp.202020003

Effect of thrombelastogram in monitoring hemostatic and coagulation function in patients undergoing elective orthopedic surgery during blood transfusion

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  • Received Date: August 18, 2020
  • Available Online: December 21, 2020
  • Published Date: November 12, 2020
  • Objective To investigate the effect of thrombelastogram(TEG)in monitoring hemostatic and coagulation function in patients undergoing elective orthopedic surgery during blood transfusion. Methods A total of 300 elective orthopedic surgery patients were divided into two groups by ball touching grouping method. Control group(n=150)received blood transfusion guided by conventional coagulation indicators, while the research group(n=150)received blood transfusion guided by TEG in monitoring of hemostatic and coagulation function. The therapeutic effects of the two groups were compared. Results After surgery, prothrombin time(PT)and activated partial thrombin time in the research group were significantly shorter, and FIB was significantly higher than those in the control group(P<0.05); the amount of intraoperative blood loss, postoperative 24 h blood loss, and the amount of fresh frozen plasma, suspended red blood cells, hemoglobin and platelets in the research group were significantly less than those in the control group(P<0.05); the incidence of adverse reactions was 1.33% in the research group, which was significantly lower than 8.67% in the control group(P<0.05). Conclusion During elective orthopedic surgery, the implementation of TEG in monitoring hemostatic and coagulation function in guiding blood transfusion can maintain stability of coagulation function, control the amount of blood loss and the amount of blood products, and reduce the - occurrence of adverse reactions after blood transfusion.
  • 刘娜, 马庆杰, 金华. 血栓弹力图用于脊柱外科手术中自体血回输的监测[J]. 海南医学, 2018, 29(8): 1151-1153.
    张星晨, 郑欣, 孙玛骥, 等. 骨科围手术期血栓弹力图的应用研究[J]. 中华关节外科杂志: 电子版, 2017, 11(1): 83-86.
    赵芬, 袭洁, 何颂雄, 等. 血栓弹力图在成人复杂心脏手术体外循环成分输血中的指导作用[J]. 山东医药, 2019, 59(33): 53-55.
    林就孟, 张颖, 曾灏, 等. 血小板抗体协同血栓弹力图检测对心脏手术围术期输血的指导作用[J]. 中国医药导报, 2019, 16(34): 100-103.
    邵长峰, 秦丽凤, 赵真, 等. 血栓弹力图和常规凝血参数在指导肝移植术中输血率的回顾性分析[J]. 中国输血杂志, 2019, 32(11): 1137-1140.
    中华医学会. 临床诊疗指南-骨科分册[M]. 北京: 人民卫生出版社, 2009: 110-114.
    中华医学会麻醉学分会. 2014版中国麻醉学指南与专家共识[M]. 北京: 人民卫生出版社, 2014: 207-214.
    刘树仁, 董昭良, 王帅, 等. 血栓弹力图在胸腰椎结核围手术期凝血功能评价中的应用[J]. 河北医药, 2019, 41(20): 3094-3097.
    刘玢, 朱跃辉, 何丽婷, 等. 两次PDCA循环持续改进骨科手术用血合理率及输血病历缺陷率[J]. 血栓与止血学, 2019, 25(4): 572-577.
    北京医学会输血医学分会, 北京医师协会输血专业专家委员会. 患者血液管理—术前贫血诊疗专家共识[J]. 中华医学杂志, 2018, 98(30): 2386-2392.
    刘效敏, 张玥, 李华文, 等. 骨科大手术后静脉血栓栓塞症的危险因素研究[J]. 中国现代医学杂志, 2019, 29(18): 53-57.
    张春丽, 牛梦林, 吴寒, 等. 术中大量输血对恶性肿瘤患者血栓弹力图和凝血功能的影响[J]. 北京医学, 2019, 41(10): 932-934.
    刘磊, 纪艳, 张丽英, 等. 肝素酶纠正血栓弹力图对围术期患者凝血功能的监测结果[J]. 北华大学学报: 自然科学版, 2019, 20(3): 373-375.
    李清, 龙艳喜, 杨鑫, 等. 血栓弹力图与Sonoclot分析对上消化道出血患者应用白眉蛇毒血凝酶治疗后凝血功能检测效果比较[J]. 河北医科大学学报, 2019, 40(11): 1352-1355.
    黄静, 闫新明. 血栓弹力图及常规凝血功能与多发伤患者创伤严重程度的研究[J]. 实用骨科杂志, 2019, 25(9): 804-807.
    鲁双艳, 陈会欣, 刘娟, 等. 武汉某三甲医院确立血栓弹力图参考值范围的探讨[J]. 临床血液学杂志, 2019, 32(6): 440-442.
    梁翠铭, 黄敏, 梁昭清, 等. 血栓弹力图在大量输血中的应用[J]. 北京医学, 2019, 41(10): 926-928.
    李小彦. 血栓弹力图对临床输血的指导价值分析[J]. 中国基层医药, 2019, 26(2): 138-140.
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