临产孕妇凝血功能检测的临床意义

Clinical significance of detecting the function of blood coagulation for parturient women

目的:探讨检测临产孕妇各项凝血指标变化的临床意义。方法:分别检测200例临产孕妇(实验组)与200例正常非妊娠妇女(正常对照组)血小板(PLT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)及纤维蛋白原(FIB),比较分析2组间凝血指标差异。结果:PLT、PT、APTT和TT检测结果2组间差异无统计学意义(P>0.05),但FIB值实验组明显高于正常对照组,且差异有统计学意义(P<0.01)。结论:在妊娠后期体内存在高凝状态,因此在产前及分娩过程中,及时监测FIB对预防产后出血及血栓形成等并发症有重要意义。

[Objective] To explore clinical significance of detecting the function of blood coagulation among the parturient women.[Methods] We analyzed the difference of blood coagulation functions between 200 parturient women(experiment group) and 200 normal women without pregnant(control group).We detected the level of platelet(PLT),prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT) and plasma fibrinogen(FIB) in two groups respectively.[Results] There was no statistical significance for the level of PLT、PT、APTT and TT between experiment group and control group(P>0.05).But there was a statistical significance for the level of FIB between experiment group and control group(P<0.05).[Conclusion] There was a hypercoagulabale state during the late pregnant,and in order to prevent the postpartum hemorrhage,thrombosis or other complication,it is important to detect the level of FIB for parturient women in time.