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围手术期患者血栓弹力图参数与血小板计数相关性分析

程晓静 邢准 王秋实 何燕京

现代检验医学杂志2018,Vol.33Issue(2):121-124,4.
现代检验医学杂志2018,Vol.33Issue(2):121-124,4.DOI:10.3969/j.issn.1671-7414.2018.02.034

围手术期患者血栓弹力图参数与血小板计数相关性分析

Investigation of Correlation between Parameters of Thrombelastogram and Platelet Count in Perioperative Patients

程晓静 1邢准 2王秋实 3何燕京3

作者信息

  • 1. 辽宁省阜新市中心血站,辽宁阜新 123000
  • 2. 中国医科大学附属盛京医院麻醉科,沈阳 110004
  • 3. 中国医科大学附属盛京医院输血科,沈阳 110004
  • 折叠

摘要

Abstract

Objective To investigate thrombelastogram (TEG) correlation between parameters and platelet count in perioperative period patients.Methods Selected 139 patients,69 cases with thrombocytopenia,35 cases with normal platelet number and 35 cases with thrombocytosis from 2012 January to 2014 May,monitored TEG,blood coagulation function and the change of blood routine during perioperative period.Spearman test was used to analyze the different level of platelet count and other coagulation parameters.Results The positive correlation between platelet count and TEG parameters were:MA (r=0.57,P<0.57),Angle (r=0.54,P<0.000 1),CI (r=0.57,P<0.000 1),and R was negatively correlated with platelet count (r=-0.27,P<0.000 1).There was no significant correlation between PT,APTT and platelet count.In mild lack of platelet group [(87.34 ± 10.43) × 109/L] and normal group [(198.47 ± 45.30) × 109/L],platelet count was positively correlated with MA and Angle.In severe lower [(39.33±10.63) × 109/L] and higher group [(330.34±35.43) × 109/L],there was no correlation between platelet platelet count with MA or Angle.Conclusion Platelet count was significantly correlated with CI,Angle and MA,but in patients with moderately severe lower platelet and platelet increase the platelet count do not reflect the aggregation function,MA is more sensitive response to platelet function.

关键词

血栓弹力图/血小板/凝血功能/相关性

Key words

thrombelastogram/platelet/coagulation function/relativity

分类

医药卫生

引用本文复制引用

程晓静,邢准,王秋实,何燕京..围手术期患者血栓弹力图参数与血小板计数相关性分析[J].现代检验医学杂志,2018,33(2):121-124,4.

基金项目

辽宁省省直医院重点临床科室诊疗能力建设项目(LNCCC-D13-2015). (LNCCC-D13-2015)

现代检验医学杂志

1671-7414

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