血常规结合凝血六项检验在妊娠高血压诊断中的价值

The Value of Blood Routine Combined with Six Coagulation Indicators in the Diagnosis of Gestational Hypertension

目的分析血常规结合凝血六项检验在妊娠高血压诊断中的价值,为孕期保健提供参考。方法非随机选取2022年1月—2023年1月洋河第一医院收治的78例疑似妊娠高血压患者为研究对象,均实施血常规、凝血六项检验,分析联合检验与单一检验结果与诊断效能。结果以综合检查结果为金标准,检出阳性59例,阴性19例。血常规检验检出真阳性40例、凝血检验检出真阳性42例,血常规结合凝血六项指标检验检出真阳性57例,血常规和凝血六项联合检验的准确度为96.15%(75/78),灵敏度为94.87%(57/59),特异度为97.44%(18/19),高于血常规、凝血六项单一检验,差异有统计学意义(χ^(2)=24.700、17.735、7.472,P均<0.05)。结论血常规结合凝血六项检验在妊娠高血压诊断中可行性较高,为避免发生大出血等并发症,需要及早进行血常规和凝血六项检验。

Objective To analyze the value of blood routine combined with six coagulation tests in the diagnosis of gestational hypertension,providing reference for prenatal care.Methods Seventy-eight suspected pregnant women with hypertension admitted to Yanghe First Hospital from January 2022 to January 2023 were non-randomnly selected as the research objects.Blood routine and coagulation tests were performed on all patients,and the results and diag-nostic efficacy of combined and single tests were analyzed.Results Based on the comprehensive examination results as the gold standard,59 cases were detected as positive and 19 cases were detected as negative.Blood routine test de-tected 40 true positives,coagulation test detected 42 true positives,and blood routine combined with six coagulation indicators test detected 57 true positives.The accuracy of the combined test of blood routine and six coagulation indi-cators was 96.15%(75/78),the sensitivity was 94.87%(57/59),and the specificity was 97.44%(18/19),which were higher than the single test of blood routine and six coagulation indicators,and the differences were statistically signifi-cant(χ^(2)=24.700,17.735,7.472,all P<0.05).Conclusion The combination of blood routine and coagulation tests is highly feasible in the diagnosis of gestational hypertension.To avoid complications such as major bleeding,early blood routine and coagulation tests are necessary.