TEG血栓弹力图同常规凝血试验的相关性研究  

The correlation between TEG thromboelastography test and routine haemostatic assays

作　　者：马学斌[1,2] 马骢[1,2] 杨明[1] 黄新强[1] 贾晶媛[1] 李娜[1] 赵强元[1] 

机构地区：[1]北京海军总医院检验科,北京100048 [2]北京海军总医院生物治疗中心,北京100048

出　　处：《国际检验医学杂志》2013年第24期3335-3336,共2页International Journal of Laboratory Medicine

摘　　要：目的探讨TEG血栓弹力图检测与常规凝血试验各参数间的相关性,评价2种方法在住院患者凝血状况检测中的共性与差异性。方法回顾性分析本院住院患者249例患者的TEG血栓弹力图、常规凝血试验和血小板计数的结果,将TEG检测结果的参数与常规凝血试验结果和血小板计数结果进行相关性分析,并对相关的参数进一步做回归分析。结果 TEG检测的R时间与PT、APTT显著相关,K值和α角分别与FIB、PLT显著相关,MA与PLT、FIB显著相关,CI与PT、APTT、FIB和PLT显著相关,TEG参数MA、R、K和α之间任意两者之间显著相关。对相关参数进一步做回归分析得出回归方程。结论 TEG检测结果与常规凝血试验结果具有相关性,但是两者不能相互替代,结果判读需要综合考虑各种因素。Objective To investigate the relationship between TEG thromboelastography（TEG） and routine haemostatic assays, and evaluate the 2 methods commonness and differences in determining the blood coagulation of patients. Methods A total of 249 patients in hospital with TEG thrombelastography, routine haemostatie saasys and platelet count results were enrolled and made retrospective analysis for the relevant and regression. Results Significant correlation were observed between R and PT, APTT; between either K, alpha angle and FIB or PLT; between MA and FIB, PLT; between CI and PT,APTT,FIB,PLT; and between either two of R, alpha angle, K and MA. The further regression analysis got regression equations. Conclusion There were signifi- cant correlation between some of the TEC- parameters and those of routine haemostatic assays, or between TEG patameters, but they can not replace each other, the interpretation of the results requires a comprehensive consideration of various factors.

关 键 词：TEG血栓弹力图 凝血试验 相关性 

分 类 号：R446.1[医药卫生—诊断学]