血栓弹力图与常规凝血试验指标评价脑梗死患者凝血状态的相关性分析
CorrelationAnalysis between Thromboelastogram And Conventional Coagulation Test Indexes to Evaluate Coagulation Status in Patients with Cerebral Infarction
盛传奕 1竺宝荣 1吴中华1
作者信息
- 1. 南京市六合区中医院检验科,江苏南京 211500
- 折叠
摘要
目的 探讨分析对脑梗死患者行血栓弹力图与常规凝血试验的对评价凝血状态的价值.方法 选择南京市六合区中医院2020年5月至2023年9月治疗的脑梗死患者100例,为观察组;选择同期该医院健康体检者100例,为对照组.两组均给予血栓弹力图与常规凝血试验,对比诊断效能.结果 与对照组比较,观察组纤维蛋白原、凝血酶时间(与K呈负相关,与MA、Angle呈正相关)、MA及Angle均较高,K、R均较低,P＜0.001;凝血酶原时间与活化部分凝血酶时间对比,P＞0.05,但与R呈正相关,与MA、Angle呈负相关.结论 采用血栓弹力图与常规凝血结合试验可提高脑梗死诊断效能,充分反映其凝血状态,从而为临床诊治提供重要依据.
Abstract
Objective:To explore and analyze the value of thromboelastography and routine coagulation test in evalu-ating coagulation state in patients with cerebral infarction.Methods:100 patients with cerebral infarction treated in Nanjing Liuhe District Hospital of Traditional Chinese Medicine from May 2020 to September 2023 were selected as the observation group.100 healthy people in the same period were selected as the control group.Both groups were given thromboelastogram and routine coagulation test to compare the diagnostic efficacy.Results:Compared with the control group,fibrinogen,thrombin time(negatively correlated with K,positively correlated with MA and Angle),MA and Angle in the observation group were higher,while K and R were lower,P＜0.001;Compared with the acti-vated partial thrombin time,the prothrombin time was,P＞0.05,but it was positively correlated with R and nega-tively correlated with MA and Angle.Conclusion:Thromboelastography combined with routine coagulation test can improve the diagnostic efficiency of cerebral infarction and fully reflect its coagulation state,thus providing an im-portant basis for clinical diagnosis and treatment.
关键词
血栓弹力图/常规凝血试验/脑梗死/凝血状态Key words
Thromboelastogram/Routine coagulation test/Cerebral infarction/Coagulation state引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据