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不同病情严重程度子痫前期-子痫孕妇的凝血因子水平及其诊断价值

严璐曼 周海峰 王亭亭

健康研究2023,Vol.43Issue(6):696-699,4.
健康研究2023,Vol.43Issue(6):696-699,4.DOI:10.19890/j.cnki.issn1674-6449.2023.06.019

不同病情严重程度子痫前期-子痫孕妇的凝血因子水平及其诊断价值

Expression level and diagnostic value of coagulation factors in pregnant women with different severity of preeclampsia and eclampsia

严璐曼 1周海峰 1王亭亭1

作者信息

  • 1. 诸暨市妇幼保健院 产科,浙江 诸暨 311800
  • 折叠

摘要

Abstract

Objective To investigate the levels of coagulation factors in pregnant women with varying severity of preeclampsia-eclampsia,and assess the significance of coagulation index determination for disease treatment and prognosis.Methods The coagulation levels of factors(PT,TT,APTT,FIB,D-D)in mild preeclampsia,severe preeclampsia,and healthy pregnant women were measured and compared.Pregnant women with preeclampsia/eclampsia were categorized according to complications,and their coagulation levels were compared between groups.The diagnostic value of coagulation factors in severe preeclampsia/eclampsia was analyzed by ROC curve.Results The statistically significant difference between the three groups was observed(P<0.05).As the severity of the disease increased,the levels of PT and APTT decreased whereas the levels of TT,FIB,and D-D increased.Additionally,the variation in the same index levels among different groups was also statistically significant(P<0.05).The levels of PT,TT and APTT were lower in the complication group compared to the non-complication group,whereas the levels of FIB and D-D were higher in the complication group with statistically significant differences(P<0.05).The area under the curve of D-D,PT,TT,APTT and FIB in the diagnosis of severe preeclampsia was 0.896,0.904,0.756,0.855 and 0.848,respectively.The diagnostic value of TT was found to be the lowest,and the difference was statistically significant(P<0.05).Conclusions The levels of coagulation indexes in patients with preeclampsia-eclampsia increase as the disease worsens.Each coagulation factor serves as a valuable indicator of disease severity.

关键词

子痫前期-子痫/凝血因子水平/诊断价值

Key words

preeclampsia and eclampsia/coagulation factor level/diagnostic value

分类

医药卫生

引用本文复制引用

严璐曼,周海峰,王亭亭..不同病情严重程度子痫前期-子痫孕妇的凝血因子水平及其诊断价值[J].健康研究,2023,43(6):696-699,4.

健康研究

1674-6449

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