黄毅, 姜学高, 黎建华, 唐杰, 龚月勇, 郑源. 脑膜瘤切除术围手术期输血的危险因素分析[J]. 循证医学, 2021, 21(2): 100-104. DOI: 10.12019/j.issn.1671-5144.2021.02.008
    引用本文: 黄毅, 姜学高, 黎建华, 唐杰, 龚月勇, 郑源. 脑膜瘤切除术围手术期输血的危险因素分析[J]. 循证医学, 2021, 21(2): 100-104. DOI: 10.12019/j.issn.1671-5144.2021.02.008
    HUANG Yi, JIANG Xue-gao, LI Jian-hua, TANG Jie, GONG Yue-yong, ZHENG Yuan. Analysis of Risk Factors of Blood Transfusion During Meningioma Resection[J]. Journal of Evidence-Based Medicine, 2021, 21(2): 100-104. DOI: 10.12019/j.issn.1671-5144.2021.02.008
    Citation: HUANG Yi, JIANG Xue-gao, LI Jian-hua, TANG Jie, GONG Yue-yong, ZHENG Yuan. Analysis of Risk Factors of Blood Transfusion During Meningioma Resection[J]. Journal of Evidence-Based Medicine, 2021, 21(2): 100-104. DOI: 10.12019/j.issn.1671-5144.2021.02.008

    脑膜瘤切除术围手术期输血的危险因素分析

    Analysis of Risk Factors of Blood Transfusion During Meningioma Resection

    • 摘要: 目的 分析脑膜瘤切除术围手术期输血的危险因素。 方法 回顾性分析2016年2月至2020年4月在凉山彝族自治州第一人民医院行脑膜瘤切除术的262例患者,收集脑膜瘤切除围手术期输血的可能危险因素。根据有无输血将患者分为两组,比较两组患者各因素的差异,并以多因素logistic回归分析各因素对脑膜瘤切除术中输血的影响。 结果 本研究纳入的262例患者中161例(61.45%)患者接受输血,输血量为1~10 U,平均4.08±1.21 U。单因素分析基础上多因素分析,脑膜瘤切除术患者年龄>60岁比值比(odds ratio,OR) 1.526,95%可信区间(confidence interval,CI) 1.214~1.928、肿瘤位于颅底(OR 1.759,95%CI 1.311~2.428)、肿瘤直径>3 cm(OR 1.642,95%CI 1.371~2.162)、累及重要血管(OR 1.553,95%CI 1.131~1.920)、手术耗时>4 h(OR 1.794,95%CI 1.238~2.562)、术前血红蛋白低于正常值(OR 1.930,95%CI 1.527~2.793)及术前未行肿瘤栓塞术(OR 1.841,95%CI 1.494~2.605)为输血的危险因素(P<0.05)。 结论 脑膜瘤切除术围术期输血率较高,主要受患者年龄、肿瘤位置、肿瘤直径、累及重要血管情况、手术时间、术前血红蛋白水平及术前肿瘤栓塞术情况等影响。

       

      Abstract: Objective To analyze the risk factors of allogeneic blood transfusion during meningioma resection. Methods 262 patients with meningiomas in the First People's Hospital of Liangshan Yi Autonomous Prefecture between February 2016 and April 2020 were retrospectively analyzed. The possible risk factors of perioperative blood transfusion were collected. The patients were divided into two groups according to the presence or absence of blood transfusion. The differences of various factors between the two groups were compared, and the influence of each factor on blood transfusion during meningioma resection was analyzed by multivariate logistic regression. Results Among the 262 patients included in this study, 161 (61.45%) received blood transfusion with a blood transfusion volume ranging from 1 to 10 U, (average 4.08±1.21 U). Based on univariate analysis, multivariate analysis showed that patients with meningiomas were older than 60 years old odds ratio(OR) 1.526, 95% confidence interval(CI)1.214~1.928, tumors located in skull base (OR 1.759, 95%CI 1.311~2.428), tumor diameter >3 cm (OR 1.642, 95%CI 1.371~2.162), involvement of important vessels (OR 1.553, 95%CI 1.131~1.920), operation time >4 h (OR 1.794, 95%CI 1.238~2.562), preoperative hemoglobin lower than normal (OR 1.930, 95%CI 1.527~2.793) and no preoperative tumor embolization (OR 1.841, 95%CI 1.494~2.605) were risk factors for blood transfusion (P<0.05). Conclusions The blood transfusion rate during meningioma resection was relatively high, which was mainly affected by the patient's age, tumor location, tumor diameter, important blood vessel involvement, operation time, preoperative hemoglobin level, and preoperative tumor embolization.

       

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