南方医科大学学报2017，Vol.37Issue(4)：533-536,4.DOI:10.3969/j.issn.1673-4254.2017.04.19
PFA P2Y评价服用氯吡格雷的老年心血管病患者的血小板功能
Evaluation of PFA P2Y assay in monitoring platelet function in elderly patients with cardiovascular disease receiving clopidogrel treatment
田奎朋 1关杰 2蔡力力 1李玉茹 1邓新立 1刘庆艳 3郑本献 4丛玉隆1
作者信息
- 1. 解放军总医院南楼检验科,北京 100853
- 2. 北京大学第一医院检验科,北京 100034
- 3. 解放军总医院心血管内科,北京 100853
- 4. 中国人民解放军装备发展部第六十一研究所门诊部,北京 100141
- 折叠
摘要
Abstract
Objective To evaluate the value of a new platelet function test PFA P2Y (PFA-200) in monitoring clopidogrel treatment for cardiovascular disease in elderly patients. Methods Fifty-six elderly patients receiving clopidogrel therapy in the Department of Cardiology of General Hospital of PLA from March to August in 2016 and 85 healthy volunteers were recruited for analysis. All the subjects underwent PFA P2Y, LTA (light transmittance aggregometry) and TEG (Thromboelastograph) tests, and Spearman correlation coefficients were used to test the associations between test results. The agreement among the 3 platelet function test methods was assessed using Cohen's kappa coefficient. Results Correlation coefficient (r) was-0.701 (P<0.001) between PFA P2Y and LTA, and 0.475 (P<0.001) between PFA P2Y and TEG. The agreement was 75%between PFA P2Y and LTA and 67.9%between PFA P2Y and TEG. Theκvalue was 0.434 (P=0.001) between PFA P2Y and LTA and 0.242 (P=0.046) between PFA P2Y and TEG. With ADP-induced maximum platelet aggregation rate of LTA>50%as the laboratory clopidogrel resistance, the cut-off value of PFA P2Y was 119 s (AUC=0.733) with a sensitivity of 75.6% and a specificity of 73.3%. Conclusion PFA P2Y has a moderate correlation and agreement with LTA, but has a poor correlation and agreement with TEG. PFA P2Y can be useful for assessing the effects of clopidogrel therapy and the association of the cut-off value (119 s) with the long-term clinical ischemic events needs be confirmed in further study.关键词
PFA-200/PFA P2Y/光学比浊法/血栓弹力图/氯吡格雷Key words
PFA-200/PFA P2Y/light transmittance aggregometry/thromboelastography/clopidogrel引用本文复制引用
田奎朋,关杰,蔡力力,李玉茹,邓新立,刘庆艳,郑本献,丛玉隆..PFA P2Y评价服用氯吡格雷的老年心血管病患者的血小板功能[J].南方医科大学学报,2017,37(4):533-536,4.
