血栓弹力图、DD和FDP同时监测脑梗死患者临床价值的分析

Analysis of Clinical Value of Thromboelastography, DD and FDP in Simultaneous Monitoring of Patients with Cerebral Infarction

目的探讨血栓弹力图、DD和FDP同时监测脑梗死患者的临床价值。方法选择2017.07.01至2018.02.28来我院住院治疗的脑梗死患者191例作为研究对象,采用空腹静脉血,用0.109 mmol/L枸橼酸钠抗凝,即刻测定。采用重庆鼎润DRNX-Ⅰ血栓弹力图分析仪对患者进行TEG参数分析。采用希森美康CS2000i全自动凝血仪对患者进行DD和FDP分析。结果在191例样本中TEG指标K、R、α角和MA值的单项异常检出例数均高于FDP、DD的异常检出例数。R+K和α角+MA的异常检出例数高于FDP+DD的异常检出例数。结论FDP、DD的检测可作为脑梗死患者的病程疗效指标。血栓弹力图比FDP、DD的检出率更高,可较为全面的反映脑梗死患者的凝血状态。脑梗死时,联合分析血栓弹力图各项指标比单项分析更有临床价值。

Objective To explore the clinical value of thromboelastography,DD and FDP in the simultaneous monitoring of patients with cerebral infarction.Methods 191 patients with cerebral infarction who were hospitalized in our hospital from 2017.07.01 to 2011.02.28 were selected as the study subjects.Fasting venous blood was used and anticoagulated with 0.109 mmol/L sodium citrate.TCG parameters were analyzed by the Chongqing Dingrun DRNX-I thromboelastography analyzer.Patients were subjected to DD and FDP analysis using the Sysmexcon CS2000i automatic coagulation instrument.Results Among the 191 samples,the number of abnormal cases of TGE index K,R,horn and MA was higher than that of FDP and DD.The number of abnormal detection cases of R+K and angle+MA is higher than the number of abnormal detection cases of FDP+DD.Conclusion The detection of FDP、DD can be used as a curative effect indicator for patients with encephalopathy.The thromboelastogram has a higher detection rate than FDP、DD,which can more comprehensively reflect the coagulation status of patients with cerebral infarction.Joint analysis of thromboelastogram indicators is more clinically valuable than single analysis.