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产前孕妇PT、aPTT、TT、Fbg及联合AT、D-D检测的临床意义
作者:张洁 武士敏 刘志华 
单位:昌吉职业技术学院护理分院
关键词:孕妇 D-二聚体 凝血酶原 相关分析 纤维蛋白原 
分类号:
出版年·卷·期(页码):2017·45·第一期(109-113)
摘要:

目的 探讨产前孕妇凝血酶原时间(PT)、活化部分凝血活酶时间(aPTT)、凝血酶时间(TT)、纤维蛋白原(Fbg)及联合抗凝血酶(AT)、D-二聚体(D-D)检测的临床意义。方法 以2014年8月-2015年10月在我院接受产前检查的180例孕妇为观察对象,同时选取180例未妊娠健康女性作为对照组。观察两组PT、aPTT、TT、Fbg水平和AT、D-D水平的差异。分析PT、aPTT、TT、Fbg水平与AT、D-D水平的相关性。结果 观察组孕妇的PT、aPTT、TT水平分别为10.02±1.03s、26.12±3.68s、10.13±2.36s,明显低于对照组;而Fbg水平为4.89±0.35g/L,明显高于对照组,差异具有统计学意义(P<0.001);观察组孕妇的AT水平为64.68±9.35%,明显低于对照组(t=20.832,P<0.001),而D-D水平为759.56±26.82ng/ml,明显高于对照组,差异具有统计学意义(t=-23.286,P<0.001);AT与PT、aPTT和TT正相关,与Fbg水平负相关,D-D水平与PT、aPTT和TT负相关,与Fbg水平正相关,差异具有统计学意义(P<0.05)。结论 产前孕妇的PT、aPTT、TT和AT水平较低,Fbg和D-D水平较高,可作为临床监测的重要指标。

Objective To explore prenatal prothrombin time (PT), and activated partial thromboplastin time (APTT), thrombin time (TT), fibrin original (FBG) and antithrombin (at), D-Dimer (D-D) to detect the clinical significance of. Methods 180 cases of pregnant women who received prenatal examination in our hospital from October to August 2014 in were selected as the observation objects, and 180 cases of non pregnant women were selected as control group. Observed the two groups of PT, aPTT, TT, Fbg levels and AT, D-D levels of differences. Analysis of PT, aPTT, TT, Fbg levels and AT, D-D levels of correlation. Results In the observation group of pregnant women, Pt, APTT, TT levels were 10.02 + 1.03s, 26.12 + 3.68s, 10.13 + 2.36s, was significantly lower than that of the control group; and FBG level was 4.89 + 0.35g/L, was significantly higher than that of the control group, difference has statistical significance (P < 0.001). Observation group of pregnant women at the level of investment 6.468 + 9.35%, significantly lower than the control group (t=20.832, P < 0.001), and D-dimer level for 759.56 + 26.82ng/ml, was significantly higher than that of the control group, difference has statistical significance (t=-23.286, P < 0.001). AT was positively correlated with PT, aPTT and TT, and negatively correlated with the level of D-D, Fbg levels were negatively correlated with PT, aPTT and TT, and positively correlated with Fbg level, and the difference was statistically significant (P<0.05). Conclusion The levels of PT, aPTT, TT and AT in prenatal pregnant women are low, and the level of Fbg and D-D is high, which can be used as an important index for clinical monitoring.

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