摘要
目的分析血清血小板计数(PLT)、血红蛋白(Hb)及D-二聚体(D-D)水平在预测产后出血(PPH)中的临床价值。方法100例临产孕妇依据产后是否出血(出血量≥500 mL)分为PPH组(n=25)、对照组(n=75),比较两组产前24 h内血清PLT、Hb及D-D水平及其与出血程度关系,分析PLT、Hb及D-D对PPH的预测价值及各指标与产后出血量相关性。结果PPH组血清PLT、Hb低于对照组,D-D水平高于对照组(P<0.05);PPH中随出血量增加患者血清PLT下降低,D-D升高(P<0.05),Hb无变化(P>0.05);血清PLT、Hb及D-D水平联合预测PPH的ROC曲线下面积为0.891高于三项指标单独预测;临产孕妇血清PLT与产后出血量呈负相关(P<0.05),D-D与产后出血量呈正相关(P<0.05)。结论血清PLT、Hb及D-D水平联合预测PPH价值较好,可作为PPH预测指标。
Objective To analyze the clinical value of serum platelet count(PLT),hemoglobin(Hb)and D-dimer(D-D)levels in predicting postpartum hemorrhage(PPH).Methods According to the occurrence of PPH(bleeding volume≥500 mL),100 parturient women were divided into PPH group(n=25)and control group(n=75).The relationship between serum PLT,Hb and D-D levels within 24h before delivery and hemorrhage degree,the predictive value of above indexes for PPH,and their correlation with postpartum bleeding volume were analyzed.Results PPH group had lower serum PLT and Hb levels but high D-D levels than the control group(P<0.05).In PPH group,with the increase of bleeding volume,serum PLT decreased,while D-D increased(P<0.05),but no significant change in Hb was observed(P>0.05).The area under the ROC curve of serum PLT combined with Hb and DD for predicting PPH(0.891)was larger than that of each index.Serum PLT was negatively correlated with postpartum bleeding volume(P<0.05),whileD-D was positively correlated with it(P<0.05).Conclusion Combination of serum PLT,Hb and D-D has good value in prediction of PPH in parturient women.
作者
王红
杨雯
周燕
赵雪
刘久英
WANG Hong;YANG Wen;ZHOU Yan;ZHAO Xue;LIU Jiuying(Department of Obstetrics and Gynecology,Wuhan Children’s Hospital(Wuhan Maternal and Child Health Hospital),Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430016,China)
出处
《中国妇产科临床杂志》
CSCD
2021年第1期42-44,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
湖北省卫生健康委科研项目(WJ2017F041)。
