产妇产前凝血四项、D-二聚体和血小板检测的价值

Clinical Analysis of Four Items of Blood Coagulation,D-dimer and Platelet Detection in Puerpera Before Delivery

目的探讨产妇产前进行凝血四项、D-二聚体及血小板诊断的临床价值。方法回顾性总结我院2016年3月—2018年3月收治的110例产妇的临床资料,将其分为正常妊娠组(对照组)与伴妊娠相关疾病组(观察组)。比较两组凝血四项、D-二聚体及血小板等指标水平。结果(1)观察组凝血四项、D-二聚体及血小板等指标水平与对照组比较差异有统计学意义(P <0.05);(2)观察组中A组(产后出血量小于500 ml)凝血四项、D-二聚体及血小板等指标水平与B组(产后出血量大于500 ml)比较差异有统计学意义(P <0.05)。结论联合检测凝血四项、D-二聚体以及血小板计数可有效评估产妇的凝血功能。

Objective To investigate the clinical value of four items of blood coagulation,d-dimer and platelet detection in puerpera before delivery.Methods The clinical data of 110 maternal women admitted to our hospital from March 2016 to March 2018 were retrospectively reviewed.They were divided into normal pregnancy group(control group)and pregnancy-related disease group(observation group).The levels of coagulation four,D-dimer and platelets were compared between the two groups.Results(1)The levels of coagulation,D-dimer and platelet in the observation group were significantly different from those in the control group(P<0.05).(2)Group A in the observation group(postpartum hemorrhage was less than 500 ml).The levels of indicators,D-dimer and platelets were significantly different from those of group B(postpartum hemorrhage greater than 500 ml)(P<0.05).Conclusion Combined detection of coagulation four,D-dimer and platelet count can effectively evaluate the patient's coagulation function.