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早产儿早期凝血功能与其胎龄的关系探讨

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目的 观察不同胎龄早产儿的凝血功能变化,并对胎龄与凝血功能的关系进行探讨.方法 选取 90 例早产儿开展研究,根据胎龄将 90 例分为三组:早期早产儿(n=30)、中期早产儿(n=30)和晚期早产儿(n=30),各组胎儿出生后均抽取静脉血,并检测2h内凝血功能的结果,统计三组早产儿的凝血功能指标情况,并分析各项指标与胎龄之间关系.结果 不同胎龄早产儿之间的PT、APTT、TT和FIB数值比较差异有统计学意义(P<0.05),经方差分析,三组早产儿PT、APTT、TT数值水平比较有统计学意义(P<0.05);三组早产儿PT、APTT、TT数值与胎龄呈负相关(r=-0.67、-0.31、-0.32,均P<0.05),其中FIB数值与胎龄呈正相关(r=0.33,P<0.05).结论 早产儿处于不同的胎龄,其凝血功能数值不同,检测PT、APTT、TT和FIB水平意义重大,PT、APTT、FIB与胎龄均存在相关性,当PT、APTT数值延长,而FIB降低时,需尽快到正规医院就诊,注意凝血功能的复查,并给予针对性的治疗方案.
The Relationship Between Coagulation Function and Gestational Age in Premature Infants
Objective To investigate the changes of coagulation function in premature infants at different gestational ages,and analyze the relationship between gestational age and coagulation function.Methods A total of 90 preterm infants hospitalized were selected for the study.They were divided into early preterm infants group(n=30),middle preterm infants group(n=30)and late preterm infants group(n=30)according to their gestational age.Venous blood was drawn from each group after birth,and the results of blood coagulation function within 2 hours were detected.The coagulation function indexes of the three groups of preterm infants were statistically analyzed,and the relationship between each index and gestational age was analyzed.Results There were significant differences in the values of PT,APTT,TT and FIB among preterm infants of differ-ent gestational ages(P<0.05).Through analysis of variance,there were significant differences in the values of PT,APTT and TT among the three groups of preterm infants(P<0.05);The values of PT,APTT and TT of preterm infants in the three groups were negatively correlated with gestational age(r=-0.67,-0.31,-0.32,all P<0.05),and the FIB value was positively correlated with gestational age(r=0.33,P<0.05).Conclusion The coagulation function of premature infants with different ges-tational ages is different.It is significant to detect the levels of PT,APTT,TT and FIB.PT,APTT and FIB are all related to gestational age.When PT and APTT are prolonged and FIB is reduced,it is necessary to go to a hospital with good reputa-tion as soon as possible,pay attention to the review of coagulation function,and give targeted treatment plans.

premature infantsEarly coagulation functiongestational age

刘静、黄西春、王利君

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商丘市妇幼保健院新生儿重症监护室,河南 商丘 476000

早产儿 早期凝血功能 胎龄

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(2)
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