普通TEG与快速TEG检测结果比较  

Comparison of conventional TEG and rapid TEG test results

作　　者：刘娜[1] 于昌 纪宏文[1] 马丽[1] 张继雁 马祖轩[1] 高旭蓉[1] 齐虹美[1] 张颖[1] 王欣 LIU Na;YU Chang;JI Hongwen;MA Li;ZHANG Jiyan;MA Zuxuan;GAO Xurong;QI Hongmei;ZHANG Ying;WANG Xin(Department of Blood Transfusion,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing 100037 China;Blood Center of Miyun District.)

机构地区：[1]中国医学科学院北京协和医学院阜外医院输血科,北京100037 [2]北京市密云中心血站

出　　处：《中国输血杂志》2018年第9期1022-1024,共3页Chinese Journal of Blood Transfusion

摘　　要：目的比较普通TEG和快速TEG此2种检测结果是否具有等效性。方法本院2016年4月—7月的249例患者同步行普通TEG和快速TEG检测,以普通TEG组中R值和快速TEG组中ACT值在参考值范围之内判断为＂阴性＂,参考范围之外判断为＂阳性＂,进行一致性分析;同时比较2种方法的K值、Angel角和MA值间的相关性。结果普通TEG组中R值和快速TEG组ACT值间差异无统计学意义（P〉0. 05）;而2种检测方法的K值、Angel角和MA值间差异均有统计学意义（P〈0. 05）。结论普通TEG组中R值和快速TEG组中ACT值间有很好的一致性;而2种方法得到的K值、Angel角、MA值其相关性均较弱,提示2种方法需要各自的正常值范围。Objective To investigate whether the results of the conventional TEG and rapid TEG tests presents certain significant differences. Methods A total of 249 patients were enrolled. Conventional TEG and rapid TEG tests were performed in parallel. R values and ACT values were considered＂negative＂within the reference range and,on the other hand,＂positive＂out of the reference range. Consistency analysis was performed and K values,Angel angles,and MA values,were compared. Results There was no significant difference in R value and ACT value between the two by χ2 test（ P〈0. 05）.However,K value,Angel angle and MA value were statistically significant by paired t-test. P〈0. 05）. Conclusion rapid TEG could replace the response time（ R） with activated clotting time（ ACT）. Contrasting results have good consistency in positive and negative judgments. The K values,Angel angles,and MA values in the two groups are weakly correlated. Our finding indicates that r-TEG would need to develop its own reference range.

关 键 词：普通TEG 快速TEG(r-TEG) 等效性 

分 类 号：R457.1[医药卫生—治疗学] R446.6[医药卫生—临床医学]