首页|希森美康CS-5100凝血检测结果联合TEG5000血栓弹力图仪指标在判断急性脑梗死患者预后中的应用价值

希森美康CS-5100凝血检测结果联合TEG5000血栓弹力图仪指标在判断急性脑梗死患者预后中的应用价值

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目的:分析凝血指标及血栓弹力图在预测急性脑梗死患者转归方面的参考价值.方法:选择2022年1月~2022年12月本院收治的63例急性脑梗死患者纳入观察组,将63例非脑梗死患者纳入对照组,常规检查两组患者凝血指标以及血栓弹力图.观察组患者由25例病情进展者和38例病情稳定者组成,分析两类患者的凝血指标及血栓弹力图.结果:观察组PT、TT、APTT与对照组无显著差异(P>0.05),Fib高于对照组,有统计学意义(P<0.05);血栓弹力图检查结果方面,观察组R、K小于对照组,Angle、MA大于对照组,有统计学意义(P<0.05).病情进展类患者R、K小于病情稳定类患者,Angle、MA大于病情稳定类患者,有统计学意义(P<0.05).结论:对急性脑梗死患者凝血指标及血栓弹力图检测分析,可动态反映患者凝血变化,有利于及时发现凝血异常,对指导急性脑梗死患者治疗及判断预后有重要的参考价值.
The Application Value of the Combination of SYSMEX CS-5100 Coagulation Test Results and TEG5000 Thromboelastography Indicators in Predicting the Prognosis of Patients with Acute Cerebral Infarction
Objective:To analyze the reference value of coagulation index and thrombologram in predicting the outcome of patients with acute cerebral infarction.Methods:63 patients with acute cerebral infarction admitted to our hospital from January 2022 to December 2022 were included in the observation group,and 63 patients with non-cerebral infarction were included in the control group.The coagulation index and thromboelastic graph of the two groups were routinely examined.The observation group consisted of 25 patients with progressive disease and 38 patients with stable disease.The coagulation indexes and thromboelastogram of the two types of patients were analyzed.Results:There were no significant differences in PT,TT and APTT between observation group and control group(P>0.05),but Fib was higher than control group(P<0.05).As for the results of thrombus elastogram,R and K in the observation group were smaller than those in the control group,and Angle and MA were larger than those in the control group,with statistical significance(P<0.05).R and K of patients with progressive disease were smaller than those with stable disease,and Angle and MA were larger than those with stable disease,with statistical significance(P<0.05).Conclusion:The detection and analysis of coagulation index and thrombologram in patients with acute cerebral infarction can dynamically reflect the changes of coagulation in patients,which is conducive to timely detection of coagulation abnormalities,and has important reference value for guiding the treatment and prognosis of patients with acute cerebral infarction.

thromboelastographyacute cerebral infarctionconversionpredicted valuecoagulation indicatorsdisease progression

郑巧珅、汤俊峰

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福建省三明市第一医院检验科 (福建 三明 365000)

血栓弹力图 急性脑梗死 转归 预测价值 凝血指标 疾病进展

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(16)