凝血功能及子宫动脉血流动力学测定在先兆流产中的意义  

The significance of blood coagulation function and hemodynamic in threatened abortion

作　　者：冯立红[1] 万波[1] 谭玲玲[1] 

机构地区：[1]南方医科大学附属中山市博爱医院,528403

出　　处：《国际医药卫生导报》2009年第1期15-17,共3页International Medicine and Health Guidance News

摘　　要：目的探讨D-二聚体（D-D／R）、纤维蛋白原（Fib）、血小板计数（PLT）及子宫动脉血流动力学变化在先兆流产患者中的应用价值。方法（1）选择228例先兆流产及正常妊娠妇女，均抽取静脉血进行D-二聚体、纤维蛋白原、血小板计数检测；（2）对两组孕妇均进行彩色多普勒血流动力学检测；（3）对先兆流产治疗成功者复测上述指标。结果（1）先兆流产治疗成功者与正常妊娠孕妇D-D／R、Fib、PLT及血流动力学检测无显著性差异；（2）先兆流产治疗失败者与正常妊娠孕妇D-D／R及Fib水平有显著性差异（户〈0．05），血流动力学无显著性差异；（3）先兆流产治疗成功者治疗前后D—D／R、Fib、PLT及血流动力学检测差异无显著性意义。结论血浆D-D／R及Fib水平可以作为判断先兆流产预后的参考指标。Objective To investigate the application value of D-D/R, Fib, PLT and uterine artery hemodynamics Methods （1）We detected D-D/R, Fib, PLT of venous blood in 228cases of normal pregnant women and threatened abortion patients. （2）Hemodynamie detection of uterine artery was adopted in two groups. （3）These indexes were detected again in threatened abortion patients cured successfully. Results （1）There was no significant difference in D-D/R, Fib, PLT between successful treatment of threatened abortion patients and normal pregnant women. （2）There was obviously statistical difference in unsuccessful treatment of threatened abortion patients and normal pregnant women. No difference was found in hemodynamie detection of uterine artery. （3）No difference was found in these indexs before and after successful treatment of threatened abortion patients. Conclusion We can regard D-D/R、 Fib as reference index for the prognosis of threatened abortion.

关 键 词：先兆流产 凝血功能 子宫动脉 

分 类 号：R714[医药卫生—妇产科学]