摘要
目的：探讨妊娠晚期检测凝血相关指标对产后出血预测价值。方法：选取2014年2月至2015年10月我院收治的42例产后出血产妇作为研究组,选取同期正常分娩50例产妇作为对照组,分析两组产妇妊娠32~35周凝血4项、血红蛋白（Hb）、血小板计数（PLT）、D-二聚体（D-D）对产后出血的预测价值。结果：两组PT、TT、APTT、Hb比较无统计学意义（P〉0.05）;研究组FIB、PLT水平低于对照组,D-D高于对照组[（4.5±0.6）g/L比（4.8±0.7）g/L,（171.6±34.5）×109比（202.4±32.1）×109,（2.2±0.7）g/L比（1.3±0.5）g/L,P〈0.05]。采用单因素和Logistic回归分析得出,FIB、PLT、D-D在产后出血中具有相关性。结论：妊娠晚期检测凝血相关指标中FIB、PLT、D-D水平对产后出血有预测价值。
Objective：To explore the predictive value of postpartum hemorrhage of detecting related indicators of coagulation in late pregnancy. Methods： 42 cases of maternal postpartum hemorrhage were selected as study group in February 2014 to October 2015 admitted to hospital, and the same period 50 cases of maternal childbirth as control group. The analysis of two group of 32 to 35 weeks of pregnancy maternal blood clotting, hemoglobin（Hb）, platelet count（PLT）, D- dimer（D-D）were carried out to evaluate the predictive value of postpartum hemorrhage. Results： PT, TT, APTT, Hb of the two groups showed no significant difference（P 0.05）, FIB, PLT level of study group were lower than that of the control group, D-D of study group was higher than that of control group（4.5±0.6）g/L vs.（4.8±0.7）g/L,（171.6±34.5）×109 vs.（202.4±32.1）×109,（2.2±0.7）g/L vs.（1.3±0.5）g/L（P 0.05）. With single factor and logistic regression analysis, FIB, PLT, D-D correlated postpartum hemorrhage. Conclusion： Testing blood coagulation indicators FIB, PLT, D-D levels in late pregnancy have predictive value for postpartum hemorrhage.
出处
《华夏医学》
CAS
2016年第2期39-41,共3页
Acta Medicinae Sinica
关键词
妊娠晚期
凝血指标
产后出血
late pregnancy
coagulation indicator
postpartum hemorrhage
