首页|四川地区藏族人群血小板计数与血栓弹力图参数相关性研究

四川地区藏族人群血小板计数与血栓弹力图参数相关性研究

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目的 探讨四川地区藏族人群血小板(platelet,PLT)计数与血栓弹力图(thrombelastogram,TEG)参数之间的相关性.方法 回顾性分析2022年1月至2022年12月本院收治的2 056名进行了血栓弹力图及血常规检测的藏族患者.根据 PLT 水平分为 4 组,PLT 降低组(PLT<100 × 109/L,n=53)、PLT 正常低值组(PLT 为 100 × 109/L~200 × 109/L,n=712)、PLT 正常高值组(PLT 为 201 × 109/L~300 × 109/L,n=969)、PLT 升高组(PLT>300 × 109/L,n=322).对比 4 组TEG参数结果,探讨四川地区藏族人群TEG参数与PLT计数之间的关系.同时选取同时间段2 056名本地区汉族人群,比较藏族与汉族TEG参数与PLT计数之间的关系是否有差异.结果 四川地区藏族人群中,弹力图最大切角(Angle)、凝血综合指数(CI)、血凝块最大振幅(MA)与PLT计数呈正相关,相关系数r分别为0.401、0.418、0.419(P<0.001);血凝块形成时间(K)、反应时间(R)与PLT计数呈负相关,相关系数r分别为-0.393、-0.138(P<0.001).四川地区汉族人群中,Angle、CI、MA与PLT计数呈正相关,相关系数r分别为0.271、0.273、0.333(P<0.001);K与PLT计数呈负相关,相关系数r为 0.248(P<0.001),R与PLT计数无相关性.藏族PLT降低组、PLT正常高值组PLT计数与Angle、CI、MA呈正相关,与K呈负相关;藏族PLT正常低值组、藏族PLT升高组PLT计数与Angle、CI、MA呈正相关,与K、R呈负相关.结论 四川地区藏族人群PLT计数与TEG参数间有密切的相关性,与本地区汉族人群有差异.
The Correlation Between Platelet Count and Thromboelastographic Parameters in Tibetan Population in Sichuan Region
Objective To investigate the correlation between platelet(PLT)count and thromelastogram(TEG)parameters in Tibetan population in Sichuan region.Methods 2 056 Tibetan patients admitted to our hospital from January,2022 to December,2022 who underwent thromboelastogram and routine blood tests were retrospectively analyzed.These patients were divided into four groups according to PLT levels:PLT lower group(PLT<100 × 109/L,n=53),PLT normal low group(PLT of 100 × 109/L to 200 × 109/L,n=712),PLT normal high group(PLT of 201 × 109/L to 300 × 109/L,n=969),and PLT elevated group(PL>300×109/L,n=322).The results of TEG parameters among all four groups were compared to explore the relationship between TEG parameters and PLT counts in the Tibetan population in Sichuan region.During the same period,2 056 Han Chinese population in this region were selected to evaluate whether there was difference in the relationship between TEG parameters and PLT counts between Tibetans and Han Chinese.Results In the Tibetan population in Sichuan region,the maximum angle of tangency(Angle)of elastography,coagulation composite index(CI),and maximum amplitude of clot(MA)were positively correlated with PLT counts,with the correlation coefficients r of 0.401,0.418,and 0.419,respectively(P<0.001),while the time of clot formation(K)and reaction time(R)were negatively correlated with PLT counts,with the correlation coefficients r of-0.393 and-0.138(P<0.001),respectively.In the Han Chinese population in Sichuan region,Angle,CI,and MA were positively correlated with PLT counts,with correlation coefficients r of 0.271,0.273,and 0.333(P<0.001),respectively;K was negatively correlated with PLT counts,with correlation coefficient r of-0.248(P<0.001),and R had no correlation with PLT counts.PLT counts in the Tibetan PLT lowering group and PLT normal high value group were positively correlated with Angle,CI and MA,while negatively correlated with K.PLT counts in the Tibetan PLT normal low value group and Tibetan PLT elevated group were positively correlated with Angle,Cl and MA,while negatively correlated with K and R.Conclusion There is a close correlation between PLT counts and TEG parameters in the Tibetan population in the Sichuan region,which is different from the Han population in this region.

ThromboelastographyPlateletTibetanCorrrlation study

潘明亮、周卫东、张林、李广权、邓容、钟培英

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三六三医院输血科,四川成都 610041

三六三医院检验科,四川成都 610041

血栓弹力图 血小板 藏族 相关性研究

通用医疗课题

TYYLKYJJ-2023-021

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(5)
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