探讨联合检测在急性脑梗死患者凝血监测中的临床意义  

Clinical Significance of Combined Detection in Coagulation Monitoring in Patients With Acute Cerebral Infarction

作　　者：徐秀芝[1] 杨勇[1] 肖玲[1] 付英子[1] 冯涛[1] 

机构地区：[1]黑龙江省医院神经内科,黑龙江哈尔滨150001

出　　处：《中国卫生标准管理》2018年第4期58-59,共2页China Health Standard Management

基　　金：黑龙江省卫生计生委科研课题(2016-528);2017年哈尔滨市应用技术研究与开发项目(2017RAXQJ063)

摘　　要：目的对纤维蛋白原、血小板聚集功能、血栓弹力图联合检测在急性脑梗死患者凝血监测中的临床意义进行分析。方法收集我院收治的80例急性脑梗死患者设为实验组,另抽取同阶段80例健康志愿者设为对照组,对两组研究对象的检测结果进行对比。结果实验组患者的纤维蛋白原水平、血小板聚集率以及血栓弹力图的R值、K值、MA,3项相关指标水平经过治疗后得到改善,与对照组各项指标水平对比差异具有统计学意义,P<0.05。结论对急性脑梗死患者进行纤维蛋白原、血小板聚集功能、血栓弹力图联合检测,能够对患者的情况进行良好的反应,为患者进行治疗提供可靠的依据。Objective To analyze the clinical significance of combined detection of fibrinogen, platelet aggregation and thromboelastograph in blood coagulation monitoring in patients with acute cerebral infarction. Methods 80 cases of acute cerebral infarction in our hospital were selected as the experimental group, and the other 80 healthy volunteers at the same stage were set as the control group, and the results of two groups were compared. Results Platelet fibrinogen levels of patients in the experimental group aggregation and thrombelastogram R value, K value, MA, 3 related indexes after treatment were improved significantly, and there was no significant difference of the levels of the indicators in the control group, the comparison between the P 〈 0.05, the difference is obvious. Conclusion Combined detection of fibrinogen, platelet aggregation and thromboelastin in patients with acute cerebral infarction can respond well to patients＇ condition, and provide reliable evidence for patients＇ treatment.

关 键 词：纤维蛋白原 血小板聚集功能 血栓弹力图 急性脑梗死 

分 类 号：R651[医药卫生—外科学]