张小蓓

    【摘 要】目的：探讨孕晚期凝血指标检测在预测产后出血中的应用价值。方法：选取我院2018年12月—2021年12月收治的1580例产妇为研究对象，将受试者根据产后出血情况分为出血组48例和未出血组1532例，所有产妇在孕32周～35周行相关凝血指标水平检测，对比两组凝血四项与纤溶指标检测水平以及各指标在产后出血中的预测价值。结果：出血组与未出血组产妇的APTT、PT及TT比较无统计学差异(P>0.05)，出血组产妇FIB水平显著低于未出血组(P<0.05)；出血组与未出血组产妇的Hb水平比较无统计学差异(P>0.05)，出血组产妇PLT水平显著低于未出血组，D-D水平显著高于未出血组(P<0.05)；经Logistic回归及单因素分析，PLT、D-D及FIB与产后出血均存在明显相关性(P<0.05)，可有效预测产后出血。结论：孕晚期凝血指标检测尤其是PLT、D-D及FIB水平可有效预测产后出血，具有较高的临床应用价值。

    【关键词】孕晚期；凝血指标；产后出血；预测价值

    Value of coagulation indexes in predicting postpartum hemorrhage in the third trimester of pregnancy

    ZHANG Xiaobei

    Xi’an Yanliang District People’s Hospital， Xi’an， Shaanxi 710089， China

    【Abstract】Objective： To explore the application value of coagulation indexes in the prediction of postpartum hemorrhage in the third trimester of pregnancy. Methods： 1580 pregnant women were selected as the research object. The subjects were divided into 48 cases in the bleeding group and 1532 cases in the non bleeding group according to the situation of postpartum hemorrhage. All parturients were tested for the level of relevant coagulation indexes at 32-35 weeks of pregnancy. The detection levels of four coagulation and fibrinolysis indexes and the predictive value of each index in postpartum hemorrhage were compared between the two groups. Results： There was no significant difference in APTT ......