临产孕妇凝血指标的检测与分析.doc

临产孕妇凝血指标的检测与分析.doc临产孕妇凝血指标的检测与分析
［摘要］目的 研究临产孕妇和正常妇女凝血活酶时间(PT)、活化部分凝血活酶时间 (APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)四项指标变化及临床意义。方法 采用Sysmex CA-500型全H动血凝分析仪分别对135例临产孕妇、66例正常妇女(对照组)血液标木进行血 浆凝血活酶时间、活化部分凝血活酶时间、凝血酶时间、纤维蛋白原检测。结果临产孕妇组 的PT明显低于正常对照组，两组差异有统计学意义(P<);而TT、FIB明显高于正常对照 组，两组差异有统计学意义(P〈0. 01);，差异无统计学意 义(P>0. 05) o结论在产前及分娩过程屮，及时监测各项凝血指标对预测、预防和治疗产妇异 常出血有重要意义。
［关键词］临产孕妇；凝血活酶时间(PT);活化部分凝血活酶时间(APTT);凝血酶时间 (TT);纤维蛋白原(FIB)
［中图分类号］R714. 14 ［文献标识码］A ［文章编号］1673-9701(2010)01-126-02
Detection and Analysis of Coagulation Indexes of Pregnant Women in Labor YANG Zhengan ZHOU Yunzhu
Department of Laboratory, Yueyang Municipal Maternal and Child Health Hospital, Yueyang 414000, China
［Abstract］ ObjectiveTo study thromboplastin time(PT), activated partial t hromboplastin time (APTT), thrombi n time (TT)a nd fibrinogen (FIB) in n omal preg imnt women and pregnant women in labor and cl inical significeince of their changes. MethodsThe blood PT, APTT,TT and FIB were detected by using Sysmex CA-500-type coagulometer in the plasma samples from both 135 cases of pregnant women in labor and 66 cases of normal women(control group). ResuItsThe PT was significantly lower in pregnant women in labor than that in the control group, with a significeint difference between the two groups(P<0. 01), the TT andFIB were significantly higher in preg nant wome n in labor tha n those in the n ormal con trol group, wi th a