禁用COVID-19疫苗接种与孕早期孕产妇凝血功能的关联
Yan Zhao1, Yongbo Zhao1, Jianlong Zhu2
1Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Clinical and Translational Research Center, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
在怀孕前使用非活化疫苗接种COVID-19疫苗显示,母亲的凝血发生了轻微变化. 输血栓时间和纤维素水平下降,而D-Dimer略有增加,没有显著的临床影响.
科学领域:
- 产科和妇科 产科和妇科
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
背景情况:
- 有关COVID-19疫苗接种后罕见的血栓事件存在担忧.
- 接种COVID-19疫苗对孕妇凝血的影响仍未得到充分研究.
研究的目的:
- 调查怀孕前不活化COVID-19疫苗接种与孕妇凝血功能变化之间的关联.
主要方法:
- 追溯性队列研究,涉及5166名中国上海的孕妇.
- 凝血参数的分析,包括前热血素时间 (PT),纤维素 (FIB),D-Dimer (D-D),激活的部分血栓塑时间 (APTT),纤维素降解产物 (FDP) 和血凝时间 (TT).
主要成果:
- 与未接种疫苗的妇女相比,接种疫苗的妇女的平均PT和FIB水平较低,平均DD水平较高.
- 疫苗接种和APTT,FDP或TT水平之间没有发现显著的关联.
- 观察到的凝血变化是最小的,并且可能没有临床意义.
结论:
- 怀孕前的非活化COVID-19疫苗接种与母亲凝血参数的轻微变化有关.
- 这些凝血功能的微妙变化似乎不会在怀孕期间带来重大临床风险.
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