Application of autologous blood transfusion in patients undergoing posterior lumbar decompression and interbody fusion with internal fixation surgery and nursing such patients
Objective:To investigate application of autologous blood transfusion in patients undergoing posterior lumbar decompression and interbody fusion with internal fixation surgery,and analyze the nursing points in such patients.Methods:Sixty patients undergoing posterior lumbar decompression and interbody fusion with internal fixation surgery in Xuancheng People's Hospital were included from July 2021 to December 2022,and randomized to observational group and control group(n=30 for each group).Both groups received comprehensive nursing interventions.Patients in the observational group were treated with autologous blood transfusion via blood recovery machine,and the patients with insufficiently corrected blood volume during the operation were managed with small amount of allogeneic blood.Those in the control group just underwent traditional allogeneic blood transfusion.The two groups were compared concerning the hemoglobin level,red blood cell count,hematocrit,coagulation time,intraoperative blood loss,allogeneic blood transfusion volume,fluid rehydration and transfusion reaction before and after operation.Results:The amount of allogeneic blood transfusion and fluid rehydration in the observational group was lower than that in the control group(P<0.001).After blood transfusion,the hematocrit,hemoglobin level and red blood cell count in both groups were decreased compared to pre-transfusion(P<0.01),yet there was no significant difference in the change in coagulation time before and after transfusion in both groups(P>0.05).No adverse reaction to blood transfusion was observed in the observational group,and the incidence of complications from blood transfusion was lower in the observational group than in the control group(x2=4.630,P=0.031).Conclusion:Posterior lumbar decompression and interbody fusion with internal fixation surgery can cause significant blood loss.However,intervention of this condition through autologous blood transfusion can significantly reduce the need for allogeneic blood and fluid rehydration as well as the occurrence of blood transfusion reactions,and achieve satisfactory treatment results.