摘要
目的研究血栓弹力图在特发性血小板减少性紫癜凝血评估中的应用价值。方法选取我院2017年6月～2018年6月收治的76例特发性血小板减少性紫癜患者作为观察组,选取同时期在我院进行正常献血的76例健康人员作为对照组。所有人员均进行血栓弹力图检测,检测患者血液中的反应时间、血凝块形成时间、Angle角、最大振幅、综合凝血指数、LY30(最大振幅出现30 min时,血块消融百分比)等数值,并将两组的检测数值进行对比,以观察所有人员的凝血功能。结果观察组患者的反应时间、血凝块形成时间长于对照组,LY30高于对照组,差异均有统计学意义(P<0.05)。观察组患者的Angle角、最大振幅、综合凝血指数低于对照组,差异均有统计学意义(P<0.05)。结论对特发性血小板减少性紫癜患者实施血栓弹力图检测,可以观察患者血液凝固动态变化,对评估患者的凝血功能具有重要的作用。
Objective To study the application value of thromboelastography in coagulation assessment of idiopathic thrombocytopenic purpura.Methods A total of 76 patients with idiopathic thrombocytopenic purpura who were admitted to our hospital from June 2017 to June 2018 were enrolled in the study.A total of 76 healthy people who underwent normal blood donation in our hospital at the same time were selected.All patients underwent thromboelastography to detect reaction time in blood,clot formation time,Angle angle,maximum amplitude,comprehensive coagulation index,LY30(percentage of clot ablation at 30 minutes of maximum amplitude),etc.,and the values of the two groups of people were compared to observe the coagulation function of all personnel.Results The reaction time and blood clot formation time of the observation group were longer than those of the control group,and the LY30 of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The Angle angle,maximum amplitude and comprehensive coagulation index of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion The thromboelastography test in patients with idiopathic thrombocytopenic purpura can observe the dynamic changes of blood coagulation in patients and play an important role in evaluating the coagulation function of patients.
作者
黄婷
HUANG Ting(Department of Hematology,Ping Mine General Hospital of Pingxiang City in Jiangxi Province,Pingxiang 337000,China)
出处
《中国当代医药》
2019年第6期75-77,共3页
China Modern Medicine
关键词
特发性
血小板减少性
紫癜
凝血
血栓弹力图
Idiopathic
Thrombocytopenia
Purpura
Coagulation
Thromboelastography
