血栓弹力图在产后出血凝血功能异常患者中的应用及对输血管理的影响  

Application of thrombelastography in postpartum hemorrhage patients with abnormal coagulation function and its impact on blood transfusion management

作　　者：李卫[1] LI Wei(Department of Clinical Laboratory,Jiujiang City Maternal and Child Health Care Hospital in Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市妇幼保健院检验科,江西九江332000

出　　处：《中国现代医生》2020年第27期102-105,共4页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(20204254)。

摘　　要：目的探讨血栓弹力图在产后出血凝血功能异常患者中的应用及对输血管理的影响。方法选取2018年6月~2019年12月我院收治的86例产后出血凝血功能异常患者,采用随机数字法分为两组,对照组43例,研究组43例。对照组应用常规凝血功能检测,研究组应用血栓弹力图指导检测,对两组应用不同方法检测后的结果进行分析,并记录两组血制品的输注量,分析血栓弹力图对输血管理的影响。结果研究组需输血浆、血小板、冷沉淀的例数少于对照组(P<0.05);研究组血浆、血小板、冷沉淀的输注量均低于对照组(P<0.05);研究组临床满意度高于对照组(P<0.05);研究组应用血栓弹力图后,检测时间短于对照组(P<0.05)。结论产后出血凝血功能异常的检测过程中,应用血栓弹力图取得了满意的效果,能够在短时间内更准确地判断出产妇需要输注的血液制品及输注量,及时治疗的同时降低了血液制品的消耗,减轻了经济压力,从而提高了患者临床满意度,值得进一步推广应用。Objective To investigate the application of thromboelastography in postpartum hemorrhage patients with abnormal coagulation function and its impact on blood transfusion management.Methods From June 2018 to December 2019,86 patients with postpartum hemorrhage with abnormal coagulation function were selected and divided into the control group(n=43)and the study group(n=43)by random number table method.The control group was tested with routine coagulation function,while the study group was guided and tested with thromboelastography.The results of different methods were analyzed,and the infusion volumes of blood products in the two groups were recorded and the impact of thromboelastography on blood transfusion management was analyzed.Results The numbers of patients in the study group who needed plasma transfusion,platelet transfusion and cryoprecipitate were less than those in the control group(P<0.05).The infusion volumes of plasma,platelet and cryoprecipitate in the study group were lower than those in the control group(P<0.05).The clinical satisfaction degree of the study group was higher than that of the control group(P<0.05).After thromboelastography was applied,the detection time of the study group was shorter than that of the control group(P<0.05).Conclusion In the process of detecting abnormal coagulation function in postpartum hemorrhage,the application of thromboelastography has achieved satisfactory results,which more accurately determines the blood products and the volumes of transfusion needed by parturient women in a short time,reduces the consumption of blood products and decreases the economic pressure while treating them in time,thus improves the clinical satisfaction degrees of patients,which is worthy of further promotion and application.

关 键 词：血栓弹力图 产后出血 凝血功能异常 输血管理 

分 类 号：R457.1[医药卫生—治疗学] R714.461[医药卫生—临床医学]