先兆子痫孕妇凝血四项指标检测结果分析及护理体会

Analysis on results and nursing experience of pregnant women with pre-eclampsia of the four indicators of coagulation test

目的探讨先兆子痫孕妇凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)检测结果的临床意义和护理体会。方法对179例先兆子痫孕妇、96例正常健康孕妇与54例非孕妇女的凝血四项指标检测结果进行比较分析。结果先兆子痫孕妇组的PT、APTT、TT、FIB与正常健康孕妇比较均有统计学意义(P<0.05);正常健康孕妇PT、APTT、TT低于非孕妇女,FIB则高于非孕妇女,两组比较差异有统计学意义(P<0.01)。结论在产前及分娩过程中,及时监测各项凝血指标,产前严密观察产妇身体情况对预测、预防和治疗产妇异常出血及病程进展有重要意义。

Objective To investigate the maternal pre-eclampsia prothrombin time （PT）,activated partial thrombo-plastin time （APTT）,thrombin time （TT）,fibrinogen （FIB） test results of clinical significance and nursing. Methods 179 cases of pregnant women with pre-eclampsia,96 normal healthy pregnant women and 54 cases of non-pregnant women of the four indicators of coagulation test results of a comparative analysis. Results Pregnant women with preeclampsia group PT,APTT,TT,FIB compared with normal healthy pregnant women were statistically significant （P〈0.05）; normal,healthy pregnant women,PT,APTT,TT lower than the non-pregnant women,FIB were higher than non-pregnant women mothers,the difference was statistically significant （P〈0.01）. Conclusion The prenatal and delivery process,the timely monitoring of coagulation indicators for prediction,closely observe the situation of maternal prenatal health ,prevention and treatment of abnormal bleeding and progression of maternal great significance.