凝血状态使用凝血波分析在长期固定患者
Salfarina Iberahim1, Rosmaniza Muhamat Yusoff1, Noor Haslina Mohd Noor1
1Hematology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, MYS.
Cureus
|February 2, 2024
概括
长时间固定会增加凝块波形分析 (CWA) 参数,这表明血栓形成的风险更高. 这些变化在前列血时间 (PT) 和激活的部分血栓形成时间 (aPTT) CWA可以帮助识别有风险的患者.
科学领域:
- 血液学 血液学 血液学
- 血栓形成研究研究
- 凝血诊断 凝血诊断 凝血诊断
背景情况:
- 长时间的固定是已知的血栓栓塞的危险因素.
- 凝块波形分析 (CWA) 提供了对全球凝血的高级评估.
- 调查固定患者的CWA变化对于风险分层至关重要.
研究的目的:
- 为了研究下肢创伤后长时间不动化的患者中CWA参数的变化.
- 为了比较固定患者和健康对照者之间的CWA参数.
- 评估CWA参数从第一天到第三天的变化.
主要方法:
- 这是一项前性研究,涉及30名长期固定患者.
- 血样本是在第一天和第三天固定固定后收集的.
- 基于质血红素时间 (PT) 和基于激活的部分血栓形成时间 (aPTT) 的CWA使用光学检测进行.
- 与使用曼-惠特尼和配对t测试的20名健康对照进行了比较.
主要成果:
- 患者的PT CWA参数 (delta变化,峰值时间速度,高度速度) 显著高于对照组.
- aPTT CWA参数 (三角形变化,高度速度) 在固定患者中也显著更高.
- aPTT CWA参数在不动化的第三天增加,除了终点时间.
结论:
- 长时间的固定导致PT和aPTTCWA参数升高.
- CWA参数可以帮助识别患有血栓形成风险的患者.
- 需要进一步的研究,以充分利用CWA数据进行临床决策.
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