围生期孕妇血栓弹力图(TEG)的应用价值

Application Value of Thrombelastogram TEG of Delivery Women During the Perioperative Period

目的探讨血栓弹力图(TEG)在监测围生期孕妇凝血功能方面的应用价值。方法对2016年1月—2017年1月9 125个围生期孕妇用TEG监测凝血功能,同时进行传统的凝血试验(APTT、TCT、PT、TT、FIB、PLTs)检测。结果 9 125个孕妇TEG和传统凝血试验检测结果比较,差异无统计学意义(P>0.05),但是TEG低凝的检出率高于传统凝血试验0.21%,更加敏感,更能全面反映围生期孕妇的出凝血状况。结论 TEG在监测围生期孕妇凝血功能方面,具有较高的临床应用价值,可作为传统凝血试验的对照和补充,避免产后出血的发生。

Objective To study the application value of TEG in monitoring the coagulation function of delivery women during the perioperative period. Methods The coagulation function monitored by TEG of 9 125 cases of delivery women during the perioperative period from Janury 2016 to Janury 2017 was analyzed, and the APTT,TCT,PT,TT, FIB,PLTs were tested.Results The differences between the TEG results and traditional coagulation test results of 9 125 cases of delivery women were not statistically significant（P〈0.05）, but the test rate of low solidification of TEG was higher than that of traditional coagulation test（0.21%）, and the sensitivity was higher, and it could comprehensively reflect the coagulation status of delivery women during the perioperative period. Conclusion TEG in monitoring the coagulation status of delivery women during the perioperative period has a higher clinical application value, which can be used as the comparison and supplement of the traditional coagulation test thus avoiding the occurrence of postpartum hemorrhage.