Correlation study of thromboelastography with four items of coagulation function and platelet count
血栓弹力图与凝血功能四项、血小板计数结果的相关性研究

摘要

目的 针对患者血栓弹力图与凝血功能四项、血小板计数结果的相关性开展研究，进一步分析三者之间的关系，保证疾病诊断以及治疗的相关联系，判断血栓弹力图、凝血功能四项以及血小板计数结果临床意义与价值。方法 结合纳排标准后，选择2020年4月17日-2021年4月17日我院收治的6192例患者为研究对象，对每一位患者进行血栓弹力图、凝血功能四项以及血小板计数结果的收集与分析。结果 分析得到，凝血酶原时间、活化部分凝血酶原时间与凝血反应时间（R）、血细胞凝集块形成时间（K）呈正相关，与血细胞凝集块形成速率（a-Angle）、血凝块最大强度（MA）、凝血综合指数（CI）呈负相关；二聚体、血小板计数结果与凝血反应时间（R）、血细胞凝集块形成时间（K）呈负相关，与血细胞凝集块形成速率（a-Angle）、血凝块最大强度（MA）、凝血综合指数（CI）、呈正相关。结论 患者行血栓弹力图、凝血功能四项以及血小板计数结果均存在一定相关性，疾病诊断以及治疗可通过多种诊断得到的结果进一步实现当前的疾病情况的掌握。

Abstract

Objective: To carry out research on the correlation between thromboelastography, four coagulation function and platelet count results in patients, to further analyze the relationship between the three, to ensure the correlation between disease diagnosis and treatment, and to determine thromboelastography, four coagulation function and Clinical significance and value of platelet count results.
Methods: Combined with the inclusion and exclusion criteria, 6192 patients admitted to our hospital from April 17, 2020 to April 17, 2021 were selected as the research objects, and each patient underwent thromboelastography, coagulation function, and platelet count. Collection and analysis of results.
Results: The analysis showed that prothrombin time and activated partial prothrombin time were positively correlated with coagulation reaction time (R) and blood clot formation time (K), and were positively correlated with blood clot formation rate (a-Angle), blood clot Maximum intensity (MA) and coagulation comprehensive index (CI) were negatively correlated; dimer and platelet count results were negatively correlated with coagulation reaction time (R) and blood clot formation time (K), and were negatively correlated with blood clot formation rate ( a-Angle), blood clot maximum intensity (MA), coagulation comprehensive index (CI), were positively correlated.
Conclusion  : The results of thromboelastography, coagulation function and platelet count are all correlated to a certain extent. Disease diagnosis and treatment can be further grasped by the results of various diagnoses.