首页|OSAS患者血栓形成风险研究

OSAS患者血栓形成风险研究

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目的 探究OSAS患者凝血功能状态及血栓形成风险.方法 回顾性分析 2020 年 1 月~2022 年 2 月在我院住院治疗的OSAS患者(OSAS组,例=64)术前外周血凝血功能、血栓弹力图及血常规部分指标.选择同期住院经年龄匹配的声带息肉或头面部囊肿患者作为对照组(例=25).比较两组患者外周血凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、D-二聚体、血浆抗凝血酶Ⅲ活性(AT-Ⅲ%)、纤维蛋白聚合速率(FMPV)、血栓弹力图切线与水平夹角(Angle)、两侧曲线的最宽距离(MA)及血小板计数(PLT)的差异.所有患者外周血均在清晨空腹状态下抽取.结果 PT、APTT、D-二聚体及MA在两组间的差异均无统计学意义(P>0.05).OSAS组患者FIB较对照组明显增高,差异有统计学意义(95%可信区间(2.806-3.078)VS(2.347-2.665),P=0.0002).OSAS组患者AT-Ⅲ%较对照组降低,差异有统计学意义(95%可信区间(96.34-103.5)VS(101.5-113.9),P=0.0260).OSAS组患者FMPV较对照组明显增高,差异有统计学意义(95%可信区间(19.84-22.97)VS(15.68-20.00),P=0.0128).OSAS 组患者 Angle 较对照组缩小,差异有统计学意义(95%可信区间(56.67-64.23)VS(64.58-72.95),P=0.0106).OSAS组患者PLT较对照组增高,差异有统计学意义(95%可信区间(225.7-250.0)VS(187.5-226.2),P=0.0077).结论 OSAS患者存在血液高凝倾向,血栓形成风险增高,值得重视并积极干预.
Risk of thrombosis in patients with OSAS
Objective To explore the status of coagulation function and the risk of thrombosis in OSAS patients.Methods Some indicators of the peripheral blood coagulation function,thrombolysis diagram and blood?routine?examination of OSAS patients(OSAS group,n=64)who hospitalized in our hospital were retrospectively analyzed from January 2020 to February 2022.Patients hospitalized at the same time with vocal cord polyps or head and face cysts matched by age were selected as the control group(n=25).The difference of PT,APTT,fibrinogen(FIB),D-dimer,AT-Ⅲ%,FMPV,Angle,MA and PLT were compared between the two groups.?Peripheral blood was obtained from all patients in fasting state in the early morning.Results There were no significant differences in PT,APTT,D-dimer and MA between the two groups(P<0.05).FIB in OSAS group was significantly higher than that in control group,and the difference was statistically significant(95%CI(2.806-3.078)VS(2.347-2.665),P=0.0002).AT-Ⅲ%in OSAS group was lower than that in control group,and the difference was statistically significant(95%CI(96.34-103.5)VS(101.5-113.9),P=0.0260).FMPV in OSAS group was significantly higher than that in control group,the difference was statistically significant(95%CI(19.84-22.97)VS(15.68-20.00),P=0.0128).Angle in OSAS group was smaller than that in control group,and the difference was statistically significant(95%CI(56.67-64.23)VS(64.58-72.95),P=0.0106).PLT in OSAS group was significantly higher than the control group,and the difference was statistically significant(95%CI(225.7-250.0)VS(187.5-226.2),P=0.0077).Conclusions OSAS patients have a tendency to hypercoagulability and increased risk of thrombosis,which deserves attention and active intervention.

OSAScoagulation functionplatelet functionthrombus elastogram

李静、陶跃进、施心怡、周义兵

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南京医科大学附属江宁医院耳鼻咽喉科(江苏南京,211100)

OSAS 凝血功能 血小板功能 血栓弹力图

2024

中国中西医结合耳鼻咽喉科杂志
中国中西医结合学会

中国中西医结合耳鼻咽喉科杂志

CSTPCD
影响因子:0.7
ISSN:1007-4856
年,卷(期):2024.32(1)
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