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全膝关节置换术后自体血回输有效性的Meta分析

刘艳 苗玉良 方伟武

浙江医学2017,Vol.39Issue(14):1187-1191,5.
浙江医学2017,Vol.39Issue(14):1187-1191,5.DOI:10.12056/j.issn.1006-2785.2017.39.14.2016-2206

全膝关节置换术后自体血回输有效性的Meta分析

Efficacy of blood salvage in total knee arthroplasty: a meta-analysis

刘艳 1苗玉良 1方伟武1

作者信息

  • 1. 100101 北京,中国人民解放军第306医院麻醉科
  • 折叠

摘要

Abstract

Objective To assess the efficacy of blood salvage for reducing red blood cell (RBC) transfusion in arthroplasty.Methods PubMed,EMBASE,ProQuest Central and Web of Science from January2000 to October 2016 were searched for randomized clinical trials (RCTs) of blood salvage in arthroplasty.Software RevMan5.1.7 was used for meta-analysis.Results Thirteen RCTs involving 2126 cases were included for meta-analysis.The results showed that,compared to the control group blood salvage reduced the transfusion rate (RR:0.68,95%CI:0.51-0.92,P=0.01),but did not decrease the transfusion volume (WMD:-0.10,95%CI:-0.79 to 0.58,P=0.77).Conclusion Blood salvage may reduce the allogeneic RBC transfusion rate,but may not decrease the transfusion volume.High quality studies are needed in the future for definite conclusion.

关键词

膝关节置换术/自体血回输/Meta分析

Key words

Total knee arthroplasty/Cell salvage transfusion/Meta-analyses

引用本文复制引用

刘艳,苗玉良,方伟武..全膝关节置换术后自体血回输有效性的Meta分析[J].浙江医学,2017,39(14):1187-1191,5.

浙江医学

OACSTPCD

1006-2785

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