RDW联合凝血七项对异位妊娠输血治疗不良反应的意义  

The significance of RDW combined with seven coagulation tests in the treatment of adverse reactions in ectopic pregnancytransfusion

作　　者：文翠翠 Wen Cuicui(Department of Laboratory,Sheyang County Maternal and Child Health Hospital,Yancheng 224300,China)

机构地区：[1]射阳县妇幼保健院检验科,江苏盐城224300

出　　处：《实用妇科内分泌电子杂志》2024年第8期80-82,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析红细胞分布宽度(RDW)联合凝血七项对异位妊娠输血治疗不良反应的意义。方法选取85例异位妊娠输血治疗患者,根据患者有无发生不良反应将其分为对照组(45例,未发生不良反应)和研究组(40例,发生不良反应)。对比两组治疗前后RDW联合凝血指标[凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)、D-二聚体(D-D)、抗凝血酶Ⅲ(ATⅢ)与纤维蛋白降解产物(FDP)]水平。结果两组输血前RDW、PT、APTT、TT、FIB、D-D、ATⅢ、FDP水平比较,差异无统计学意义(P>0.05),输血后RDW、PT、APTT、TT、FIB、D-D、ATⅢ、FDP水平比较,差异具有统计学意义(P<0.05)。结论RDW联合凝血七项应用于异位妊娠输血治疗患者中,能够有效评估输血后的相关不良反应情况,具有重要的临床价值。Objective To analyze the significance of red blood cell distribution width(RDW)combined with coagulation in the adverse reactions of transfusion therapy in ectopic pregnancy.Methods 85 ectopic pregnancy transfusion patients were selected and divided into control group(45 cases,no adverse reactions)and study group(40 cases,adverse reactions)according to whether there were adverse reactions.The RDW combined with coagulation indexes before and after treatment were compared between the two groups[including:Prothrombin time(PT),activated partial prothrombin time(APTT),thrombin time(TT),fibrinogen content(FIB),D-dimer(D-D),antithrombin Ⅲ(ATⅢ)and fibrin degradation product(FDP)]levels.Results There were no significant differences in RDW,PT,APTT,TT,FIB,D-D,ATⅢ and FDP levels between the two groups before blood transfusion(P>0.05),but there were significant differences in RDW,PT,APTT,TT,FIB,D-D,ATⅢ and FDP levels between the two groups after blood transfusion(P<0.05).Conclusion RDW combined with seven coagulation items can effectively evaluate the related adverse reactions after transfusion in patients with ectopic pregnancy,and has important clinical value.

关 键 词：红细胞分布宽度 凝血七项 异位妊娠输血 不良反应 

分 类 号：R714.22[医药卫生—妇产科学] R457.1[医药卫生—临床医学]