106例孕产妇凝血功能检测结果分析

Analysis of 106 cases of maternal coagulation test results

目的：探讨对孕产妇进行凝血功能检测的临床意义,为预防产科并发症提供参考.方法：对106例孕产妇与63例育龄非妊娠妇女的凝血酶原时间（ PT）（INR）、活化部分凝血活酶时间（APTT） 、凝血酶时间（ TT） 、纤维蛋白原（ FIB） 、血小板（PLT）进行检测.结果：孕产妇组PLT 和FIB值明显高于对照组,差异具有统计学意义（P〈0.01）;孕产妇组APTT于对照组,两组PT（INR）、TT指标无明显改变.结论：在产前和分娩时进行凝血功能检查,及时发现孕产妇凝血系统功能障碍,对预防产科并发症、选择生产方式、预防异常出血、保护母婴健康有重要意义.

Objective： To study the clinical significance of coagulation function test in pregnant women, to provide a reference for the prevention of obstetric complications. Methods： Prothrombin time （PT） （INR）, activated partial thromboplastin time （APTT）, thrombin time （TT）, fibrinogen （FIB）, platelets （PLT） of 106 cases of pregnant women and 63 cases of childbearing aged non-pregnant women were tested. Results： PLT and FIB of pregnant women group was higher than control group, the difference was statistically significant （ P 〈0.01） ; APTT of pregnant women group was slightly higher than control group; PT（INR）, TT between two groups showed no significant difference. Conclusion： Coagulation function test of prenatal and childbirth could detect dysfunction of maternal blood coagulation system, which had a great significance in selecting the mode of production, preventing obstetric complications and abnormal bleeding.