摘要
Abstract
Objective:To investigate the impact of autologous blood transfusion versus allogeneic blood transfusion on Red Cell Distribution Width(RDW)in elderly patients undergoing total hip arthroplasty.Methods:This study analyzed 124 patients over 60 years of age who underwent total hip arthroplasty from June 2016 to June 2023.Patients were divided into an allogeneic blood group(61 cases)and an autologous blood group(63 cases).Pre-operative and postoperative hematological and coagulation function indicators,including RDW,Hemoglobin(HBG),Red Blood Cell count(RBC),Hematocrit(HCT),Platelet count(PLT),Prothrombin Time(PT),Ac-tivated Partial Thromboplastin Time(APTT),and Fibrinogen(Fbg),were compared.Additionally,the volume of allogeneic blood transfused,length of hospital stay,and transfusion-related adverse reactions were recorded.Re-sults:The RDW values on the 1st and 3rd day post-operation in the autologous blood group were significantly low-er than those in the allogeneic blood group,while the RBC,HBG,and HCT levels were higher(P＜0.05).No sig-nificant differences were observed in PLT and coagulation-related indicators between the two groups.The allogene-ic blood group had a higher rate of allogeneic blood use,longer hospital stay,and increased transfusion-related ad-verse reactions(P＜0.05).Conclusion:In elderly patients undergoing total hip arthroplasty,the use of autologous blood transfusion effectively reduces RDW,decreases the need for allogeneic blood,alleviates transfusion-related adverse reactions,and shortens the length of hospital stay.关键词
全髋关节置换术/红细胞分布宽度/老年自体血回输Key words
Total hip arthroplasty/Red cell distribution width/Elderly autologous blood transfusion分类
医药卫生
