首页|不同临床分期肺癌患者的凝血及纤溶指标表达差异分析

不同临床分期肺癌患者的凝血及纤溶指标表达差异分析

扫码查看
目的 探讨与分析不同临床分期肺癌患者的凝血及纤溶指标的表达差异及其与疾病的相关性.方法 回顾性选取2019年8月—2022年12月南通瑞慈医院诊治的156例肺癌患者的临床资料作为观察组(Ⅰ期100例、Ⅱ期30例、Ⅲ期26例),并选取100例同期在本院体检中心进行健康体检者纳入健康组,检测所有人群的凝血及纤溶指标并进行相关性分析.结果 观察组的血浆纤维蛋白原(5.78±0.31)g/L高于健康组(2.57±0.21)g/L,观察组的血小板计数(234.40±11.58)×109/L高于健康组的(156.89±12.68)×109/L,差异有统计学意义(t=90.996、50.335,P均<0.05).随着临床分期的增加,肺癌患者的血浆凝血酶原时间、D-二聚体、活化部分凝血活酶时间显著增加,凝血酶时间显著降低,差异有统计学意义(P均<0.05).Ⅲ期肺癌患者的血小板计数、血浆纤维蛋白原含量均高于Ⅱ期、Ⅰ期患者,差异有统计学意义(P均<0.05).在156例患者中,Spears-man秩相关分析法显示临床分期与血浆凝血酶原时间、D-二聚体、活化部分凝血活酶时间、纤维蛋白原、血小板存在正相关性(P均<0.05).结论 肺癌患者多伴随有凝血及纤溶指标表达异常,凝血及纤溶指标表达状况与肺癌患者的临床分期存在相关性.
Analysis of Differential Expression of Coagulation and Fibrinolysis Indica-tors in Patients with Lung Cancer at Different Clinical Stages
Objective To explore and analyze the expression differences of coagulation and fibrinolysis indicators in patients with lung cancer at different clinical stages and their correlation with the disease.Methods The clinical data of 156 patients with lung cancer diagnosed and treated in Nantong Ruici Hospital from August 2019 to December 2022 were retrospectively selected as the observation group(100 cases of stage Ⅰ,30 cases of stage Ⅱ and 26 cases of stage Ⅲ),and 100 healthy people who underwent physical examination in the physical examination center of the hospital during the same period were selected as the healthy group.The coagulation and fibrinolysis indexes of all groups were detected and the correlation analysis was carried out.Results The plasma fibrinogen(5.78±0.31)g/L in the observation group was higher than that in the healthy group(2.57±0.21)g/L,the platelet count(234.40±11.58)×109/L in the observation group was higher than that in the healthy group(156.89±12.68)×109/L,and the differences were statistically significant(t=90.996,50.335,both P<0.05).With the increase of clinical stage,the plasma prothrom-bin time,D-dimer and activated partial thromboplastin time of lung cancer patients increased significantly,and the thrombin time time decreased significantly,the differences were statistically significant(all P<0.05).The platelet count and plasma fibrinogen content of patients with stage Ⅲ lung cancer were higher than those of patients with stage Ⅱ and stage Ⅰ,and the differences were statistically significant(all P<0.05).Among 156 patients,Spearsman rank correlation analysis showed a positive correlation between clinical stage and plasma prothrombin time,D-dimer,acti-vated partial thromboplastin time,fibrinogen,and platelets(all P<0.05).Conclusion Lung cancer patients are often accompanied by abnormal expression of coagulation and fibrinolysis indicators,and there is a correlation between the expression of coagulation and fibrinolysis indicators and the clinical staging of lung cancer patients.

Clinical stageLung cancerCoagulation indexFibrinolysis indexExpression difference

于丹丹、涂东海、黄洁琼

展开 >

南通瑞慈医院检验科,江苏南通 226000

南通苏通科技产业园区江海医院检验科,江苏南通 226000

临床分期 肺癌 凝血指标 纤溶指标 表达差异

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(9)