血小板、血红蛋白、血浆纤维蛋白原及D二聚体联合检测对产后出血的预测价值  

Platelet、Hemoglobin、Plasma Fibrinogen and D-dimer Detection for the Predictive Value of Postpartum Hemorrhage

作　　者：陈宜斌[1] 朱贵明[1] 

机构地区：[1]湖北十堰市中医医院妇产科,十堰442012

出　　处：《血栓与止血学》2015年第1期22-24,共3页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的探讨血小板（PLT）、血红蛋白（Hb）、血浆纤维蛋白原（Fbg）及D二聚体（D-D）检测对产后出血的预测价值。方法选取2013年1月-2014年8月在我院门诊按期产检并在本院分娩的产妇,产前行PLT、Hb、Fbg及DD检测并观察产后出血情况。结果正常产妇组PLT和Fbg均高于产后出血组和严重出血组,而D-D低于产后出血组和严重出血组,差异有统计学意义（P〈0.05）;产妇产前（孕33～34周）Fbg水平与产后出血量之间呈负相关（r=-0.463,P〈0.05）,产前（孕33～34周）D-D水平与产后出血量之间呈正相关（r=0.482,P〈0.05）,而PLT与产后出血量之间无相关性（P〉0.05）。结论产前（孕33～34周）检测Fbg及D-D对孕妇产后出血有一定的预测价值,而检测PLT和Hb预测价值不明确。Objective To investigate platelet（ PLT）,hemoglobin（ Hb）,plasma fibrinogen（ Fbg） and D-dimer（ D-D） detection of the predictive value of postpartum hemorrhage. Methods From 2013 January-to2014 August in our hospital out-patient regular examination and in the hospital birth mothers,prenatal PLT,Hb,Fbg and D-D to detect and observe the postpartum hemorrhage. Results Normal pregnant group PLT and Fbg were higher than that of postpartum hemorrhage group and severe hemorrhage group,and D-D was lower than that of postpartum hemorrhage group and severe hemorrhage group,the difference was statistically significant（ P 〈0. 05）; Maternal prenatal（ 33 to 34 weeks gestation） the level of Fbg was negatively correlated with postpartum hemorrhage volume（ r =-0. 463,P 〈0. 05）,prenatal（ 33 to 34 weeks gestation） D-D level was positively correlated with postpartum hemorrhage volume（ r = 0. 482,P 〈0. 05）,while PLT and no correlation between the amount of postpartum hemorrhage（ P 〈0. 05）. Conclusion Prenatal（ 33 to 34 weeks gestation） Fbg and DD for pregnant women to detect postpartum hemorrhage have some predictive value,and detect PLT and Hb predictive value is not clear.

关 键 词：产后出血 血小板 血红蛋白 纤维蛋白原 D二聚体 预测价值 

分 类 号：R446[医药卫生—诊断学]