摘要
目的探讨常规凝血检测和血栓弹力图(TEG)在评价产科出血患者凝血功能中的价值。方法以118例产科出血患者为对象,均接受TEG及凝血四项检测。评价两种方法的相关性及一致性。结果Pearson相关性分析显示出血前产妇R值与活化部分凝血酶原时间(a PTT)、凝血酶原时间(PT)、凝血酶时间(TT)、纤维蛋白原(Fbg)呈正相关(P<0.05);MA值与PT、TT、Fbg呈负相关(P<0.05)。Pearson相关性分析显示,出血产妇术后R值与a PTT、Fbg正相关,K值与PT、TT、Fbg正相关(P<0.05);Angle角及MA值与PT、a PTT、TT、Fbg均呈负相关(P<0.05)。R值与a PTT、PT、TT进行Kppa一致性性分析,Kappa值分别为0.195、-0.138、-0.176(P<0.05);将Fbg与K值、Angle角、MA值进行Kappa一致性分析显示-0.135、-0.108、-0.143(P<0.05)。结论产科出血患者凝血指标及TEG检测结果存在差异,常规凝血与TEG结合使用,可准确的判断患者的凝血功能。
Objective To explore the value of routine coagulation test and thromboelastography(TEG)in the evaluation of coagulation function in patients with obstetric hemorrhage.Methods One hundred and eighteen patients with obstetric hemorrhage were enrolled in this study.The correlation and consistency of the two methods were evaluated.Results Pearson correlation analysis showed that R value was positively correlated with aPTT,Pt,TT and Fbg(P<0.05);Ma was negatively correlated with PT,TT and Fbg(P<0.05).Pearson correlation analysis showed that R value was positively correlated with aPTT and Fbg,and K value was positively correlated with PT,TT and Fbg(P<0.05);Angle and Ma were negatively correlated with PT,a PTT,TT and Fbg(P<0.05).Kappa values were 0.195,-0.138,-0.176(P<0.05);Kappa consistency analysis of Fbg with K value,angle and Ma value showed-0.135,-0.108,-0.143(P<0.05).Conclusion There are differences in coagulation indexes and TEG test results in patients with obstetric hemorrhage.The combination of conventional coagulation and TEG can accurately judge the coagulation function of patients.
作者
何纲
杨秀琴
HE Gang;YANG Xiu-qin(Department of Obstetrics and Gynecology,Nanzheng maternal and child health Hospital,Hanzhong,723100,China;Department of Obstetrics and Gynecology,Xixiang people’s Hospital,Xixiang,723500,China)
出处
《血栓与止血学》
CAS
2022年第3期367-369,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
凝血
血栓弹力图
产科出血
凝血功能
Coagulation
Thrombelastogram
Obstetric hemorrhage
Coagulation function
