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通化地区健康人群血栓弹力图参考区间的建立

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目的 建立通化地区健康人群血栓弹力图(thromboela-stogram,TEG)参考区间。方法 选取2023年6月—2024年5月在医院体检的616例健康成年人,年龄18~65岁。用TEG仪进行TEG检测,与厂家提供的参考区间进行比较,并比较性别、年龄、血型、BMI值、吸烟等因素对TEG参数的影响,统计分析R、K、α-Angle、MA和CI各参数参考区间。结果 通化地区健康成人 TEG 各参数的参考区间:R为 1~7 min,K 为 1~4 min,α-Angle 为 56~74°,MA 为 56~78 mm,CI 为-2~4。其中 K、MA、CI参数高于厂家提供的参考范围,R参数低于厂家提供的参考区间。不同性别间各参数均存在明显差异(P<0。05);不同年龄段间各参数无明显差异(P>0。05);不同血型和BMI值人群之间各参数无明显差异(P>0。05);与吸烟者相比,无吸烟人群R参数无明显差异(P>0。05),其余均有明显差异(P<0。05)。结论 本研究初步建立通化地区健康人群TEG的参考区间,为临床诊断和治疗提供参考。
Establishment of Thromboela-Stogram Reference Intervals for Healthy Popu-lation in Tonghua Area
Objective Establish the reference interval of thromboela-stogram(TEG)for healthy people in Tonghua area.Methods Se-lect 616 healthy adults who underwent physical examination in our hospital from June 2023 to May 2024,aged between 18 and 65 years old.TEG testing was performed using a TEG instrument,and compared with the reference interval provided by the manufacturer.The in-fluence of gender,age,blood type,BMI value,smoking and other factors on TEG parameters was statistically analyzed.The reference in-tervals of each parameter of R,K,α-Angle,MA and CI were statistically analyzed.Results The reference intervals of TEG parameters for healthy adults in Tonghua area are:R 1-7 min,K 1-4 min,α-Angle 56-74°,MA 56-78 mm,CI-2-4;among which K,MA and CI parameters are higher than The R parameter is lower than the reference range provided by the manufacturer.There are significant differ-ences in each parameter between different genders(P<0.05).There is no significant difference in each parameter between different age groups(P>0.05).There is no significant difference in each parameter between people with different blood types and BMI values(P>0.05).Compared with smokers,Compared with the non-smoking group,there was no significant difference in R parameters(P>0.05),while the others had significant differences(P<0.05).Conclusion This study effectively establishes the reference interval of TEG for healthy people in Tonghua area and provides reference for clinical diagnosis and treatment.

Tonghua areathromboela-stogramreference interval

张贵彬

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通化市人民医院,吉林 通化 134000

通化地区 血栓弹力图 参考区间

2024

吉林医药学院学报
吉林医药学院

吉林医药学院学报

影响因子:0.459
ISSN:1673-2995
年,卷(期):2024.45(6)