بررسی تغییرات قند خون پس از تزریق خون در بیماران غیردیابتی تحت عمل جراحی فیوژن خلفی مهره های کمر

Aim and Background: Hyperglycemia is one of the complications after blood transfusion, which has been less considered. The aim of this study was to evaluate changes in blood glucose after blood transfusion in non-diabetic Patients undergoing Posterior lumbar fusion surgery. Materials and Methods: In this analytical study, 44 Patients undergoing Posterior lumbar spine fusion elective surgery in Rasoul Akram hospital entered the study based on inclusion and exclusion criteria. The number of blood bags received by Patients during surgery was recorded. Hemodynamic Parameters, hemoglobin and blood glucose were measured before blood transfusion and after the transfusion of first, second, and the third bag. For data analysis including the significance of changes at different times, repeated measure test was used. Findings: The results of this study showed that blood glucose level significantly increased in Patients receiving blood bags (P=0.0001). Heart rate (P=0.0001) and hemoglobin (P=0.0001) also showed significant increases. Changes in mean arterial blood Pressure, arterial oxygen Pressure, and end-tidal CO2 (ETCO2) were not significant. Conclusion: Although serum glucose was significantly higher in Patients who received the third blood bag, this rise needed no specific clinical action.