妊娠晚期血细胞比容水平与易栓症相关性分析.docVIP

妊娠晚期血细胞比容水平与易栓症相关性分析 　　【摘要】 目的：探讨妊娠晚期血细胞比容水平与易栓症的相关性。方法：选取2014年1月-2015年5月本院妇产科住院部易栓症妊娠晚期孕妇85例作为研究组，同期选取正常妊娠晚期孕妇80例作为对照组，全部研究对象均测定血细胞比容水平，比较两组分娩前后血细胞比容的变化差异，比较两组产程异常、剖宫产、早产儿、新生儿窒息与低体重儿等妊娠不良结局发生率的差异。采用Pearson直线相关性分析血细胞比容水平与妊娠结局指标（新生儿体重）的关系。结果：分娩前后，研究组血细胞比容明显高于对照组，两组比较差异具有统计学意义（P0.05）；分娩后，研究组血细胞比容明显低于分娩前，比较差异具有统计学意义（P0.05）。研究组产程异常率、剖宫产率、早产儿率、新生儿窒息率与低体重儿率均明显高于对照组，两组比较差异均具有统计学意义（P0.05）。Pearson直线相关性分析结果显示，妊娠晚期血细胞比容与新生儿体重呈负相关（r=-0.31，P0.05）。结论：妊娠晚期血细胞比容水平与易栓症具有紧密的关系，其中HCT水平增加是易栓症形成的危险因素，且妊娠晚期HCT水平与易栓症均严重影响妊娠结局。 　　【关键词】 妊娠晚期； 血细胞比容； 易栓症 　　The Correlation Analysis between Hematocrit Level and Thrombophilia in the Late Trimester of Pregnancy/LUO Xue-juan， YANG Xing-juan.//Medical Innovation of China，2016，13（04）：050-054 　　【Abstract】 Objective： To investigate the correlation between hematocrit levels and thrombophilia in the late trimester of pregnancy.Method： 85 pregnancy pregnant women in our hospital from January 2014 to May 2015 with thrombophilia in the late trimester were selected as study group， at the same time， 80 normal pregnancy pregnant women in the late trimester were selected as control group. All the subjects were measured in hematocrit levels. Before and after childbirth， hematocrit variations was compared between the two groups， as well as abnormal stage of labor， cesarean section， premature， neonatal asphyxia and infant of low-birth weight pregnancy differences in the rate of adverse outcomes. Pearson linear correlation and pregnancy outcome index was used to analyze hematocrit level （birth weight） relationship. Result： Before and after childbirth， hematocrit of the study group was significantly higher than that of the control group， there was statistically significant difference between the two groups （P 　　【Key words】 Late trimester of pregnancy； Hematocrit； Thrombophilia 　　First-author’s address： Huiyang District Chinese Medicine Hospital of Huizhou City， Huizhou 516211， China 　　doi：10.3969/j.issn.1674-4985.2016.04.015 　　易栓症主要包括遗传性易栓症与获得性易栓症两种类型，其中获