Investigation of Correlation between Parameters of Thrombelastogram and Platelet Count in Perioperative Patients
10.3969/j.issn.1671-7414.2018.02.034
- VernacularTitle:围手术期患者血栓弹力图参数与血小板计数相关性分析
- Author:
Xiao-Jing CHENG
1
;
Zhun XING
;
Qiu-Shi WANG
;
Yan-Jing HE
Author Information
1. 辽宁省阜新市中心血站
- Keywords:
thrombelastogram;
platelet;
coagulation function;
relativity
- From:
Journal of Modern Laboratory Medicine
2018;33(2):121-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate thrombelastogram (TEG) correlation between parameters and platelet count in perioperative period patients.Methods Selected 139 patients,69 cases with thrombocytopenia,35 cases with normal platelet number and 35 cases with thrombocytosis from 2012 January to 2014 May,monitored TEG,blood coagulation function and the change of blood routine during perioperative period.Spearman test was used to analyze the different level of platelet count and other coagulation parameters.Results The positive correlation between platelet count and TEG parameters were:MA (r=0.57,P<0.57),Angle (r=0.54,P<0.000 1),CI (r=0.57,P<0.000 1),and R was negatively correlated with platelet count (r=-0.27,P<0.000 1).There was no significant correlation between PT,APTT and platelet count.In mild lack of platelet group [(87.34 ± 10.43) × 109/L] and normal group [(198.47 ± 45.30) × 109/L],platelet count was positively correlated with MA and Angle.In severe lower [(39.33±10.63) × 109/L] and higher group [(330.34±35.43) × 109/L],there was no correlation between platelet platelet count with MA or Angle.Conclusion Platelet count was significantly correlated with CI,Angle and MA,but in patients with moderately severe lower platelet and platelet increase the platelet count do not reflect the aggregation function,MA is more sensitive response to platelet function.