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川芎嗪对手术术中回收血液质量的影响

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目的 观察川芎嗪对手术术中自体回输血液质量的影响,分析川芎嗪在自体回输血液质量控制中的临床价值.方法 选择2015年2月~2016年5月宁波市鄞州二院择期行骨科手术患者68例为研究对象,将其采用数字随机表法分为对照组和试验组,每组34例.2组患者均于术中行自体血液回输,对照组按照常规自体回输血操作,试验组患者在回收血前静注川芎嗪注射,同时在回收血处理过程中加入川芎嗪注射液.采集2组患者回输前血液,在显微镜下观察红细胞形态、红细胞碎片情况并比较;测定2组患者超氧化物歧化酶(SOD)、丙二醛(MDA),比较2组患者术前、术后1 d、5 d的T淋巴细胞亚群的水平.结果 2组患者回收血液处理后回输前红细胞变形率和红细胞碎片数均较术前升高(P<0.05),血液经收集处理回输前试验组患者回输血液红细胞变形率、红细胞碎片数均明显低于对照组(P<0.05).2组患者术后2 h、1 d的SOD明显较术前降低,MDA较术前升高(P<0.05),对照组术后5 d血清SOD仍然低于术前(P<0.05);试验组患者术后2 h、1 d、5 d时SOD明显高于对照组,MDA低于对照组(P<0.05).2组患者术后2 h、1 d的CD3+、CD4+、CD4+/CD8+明显较术前降低(P<0.05);对照组术后5 d CD3+、CD4+、CD4+/CD8+仍然低于术前,试验组患者术后2 h、1 d、5 d时CD3+、CD4+、CD4+/CD8+明显高于对照组.2组患者不良反应发生率比较差异无统计学意义.结论 术前静注川芎嗪、回收血处理过程中添加川芎嗪,可有效保护回输血液红细胞完整性,降低回输血过程对患者血液抗氧化能力和血液T淋巴细胞免疫功能的影响,对提升患者回输血液质量具有重要临床价值.
Effect of Ligustrazine on the quality of blood during operation
Objective To observe the effects of tetramethylpyrazine on intraoperative autotransfusion of blood quality , analysis of ligustrazine in autotransfusion of clinical value of blood quality control.Methods 68 patients undergoing elective surgery in our hospital from February 2015 to May 2016 were selected as the research object,and were randomly divided into control group and experimental group,each group of 34 cases.Two groups of patients in the intraoperative autologous blood transfusion and the control group according to conventional autologous transfusion in operation ,test group of patients with intravenous injection of ligustrazine injection in the recovery of blood before adding ligustrazine injection in the recovery process of blood.The two groups were collected before blood transfusion,observe the morphology of red blood cells, red blood cell fragments under the microscope and compared;the two groups were collected after reinfusion of blood two hours,one and five days in peripheral venous blood, the determination of superoxide dismutase (SOD), malondialdehyde (MDA), T lymphocyte subsets level of two groups were compared before and after one and five days. Results The erythrocyte deformability and erythrocyte debris of the two groups were higher than those before operation (P<0.05).The blood red blood cell deformability and the number of red blood cell debris in the blood transfusion group were significantly higher than those in the control group Significantly lower than the control group (P<0.05).The levels of SOD were significantly lower at two hours and one day after operation than those before operation, and the serum SOD was still lower than that before operation in the control group,The SOD in the experimental group was significantly higher at two hours, one and five days in the control group,MDA was lower than the control group(P<0.05).The CD3 +,CD4 +, CD4 +/CD8 +levels were significantly lower at two hours and one day after operation than those before operation (P<0.05).CD3 +,CD4 +and CD4 +/CD8 +in the control group were still lower than those in the control group at five days after operation(P<0.05),the levels of CD3 +, CD4 +, CD4 +/CD8 +were significantly higher in the experimental group than those in the control group at two hours,one and five days after treatmen (P <0.05).There was no significant difference between the two groups in the incidence of adverse reactions.Conclusion The addition of preoperative intravenous injection of ligustrazine,blood recovery process,can effectively protect the transfusion of red blood cell integrity,reduce the effect of transfusion of blood and blood antioxidant capacity in patients with T lymphocyte immune function ,to improve the quality of blood transfusion patients has important clinical value .

autologous blood transfusionLigustrazineerythrocyte morphologyantioxidant capacityT lymphocyte immune functioninfluence study

龚征华、江志强、朱建锋、张春连

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宁波市鄞州二院 输血科,浙江 宁波 315102

宁波市鄞州二院 骨科,浙江 宁波 315102

自体回输血 川芎嗪 红细胞形态 抗氧化能力 T淋巴细胞免疫功能 影响研究

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(2)
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