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[慢性高血压孕妇在妊娠、分娩及产褥期纤维蛋白原、纤维蛋白-纤维蛋白原降解产物及纤溶活性的变化]

[Changes in fibrinogen, fibrin-fibrinogen degradation products and fibrinolytic activity during pregnancy, labor and the puerperium in pregnant women with chronic hypertension].

作者信息

Kendić S, Mujezinović O, Muratović H

出版信息

Med Arh. 2000;54(1):29-31.

Abstract

In this study 79 pregnant women were analyzed, during the pregnancy, delivery and postnatal period. The control group consisted of 41 healthy women, while in the studied group there were 38 patients with severe chronic hypertension. Analyzed parameters: fibrinogen, fibrinolysis and FDP. Parameters were performed in all cases of pregnancies during third trimester (I), during the first stage of labor (II), immediately after delivery of placenta (III), two hours after placenta was delivered (IV), eight hours (V), 24 hours (VI), 48 hours (VII) and 72 hours (VIII) after placenta was delivered. Comparing certain measures in fibrinogen's value, high statistical significance was obtained for control group (healthy women), ANOVA (F = 5.17; p < 0.001) and for studied group (women for chronic hypertension), (F = 3.17; p < 0.001. Analyses of FDP values showed high statistically significant difference for control group, F = 15.03; p < 0.00001, and for studied group, F = 10.56; p < 0.00001. Statistically significant difference in fibrinolytic activity was obtained for control group, F = 60.72; p < 0.0001 and studied group, F = 5.70; p < 0.0001.

摘要

在本研究中,对79名孕妇在孕期、分娩期及产后进行了分析。对照组由41名健康女性组成,而研究组有38名重度慢性高血压患者。分析参数包括:纤维蛋白原、纤维蛋白溶解及纤维蛋白降解产物(FDP)。在所有妊娠病例的孕晚期(I)、第一产程(II)、胎盘娩出后即刻(III)、胎盘娩出后两小时(IV)、八小时(V)、24小时(VI)、48小时(VII)及72小时(VIII)进行参数测定。比较纤维蛋白原值的某些测量结果,对照组(健康女性)通过方差分析(F = 5.17;p < 0.001)得出具有高度统计学意义,研究组(慢性高血压女性)(F = 3.17;p < 0.001)也具有高度统计学意义。FDP值分析显示,对照组(F = 15.03;p < 0.00001)和研究组(F = 10.56;p < 0.00001)均存在高度统计学差异。对照组(F = 60.72;p < 0.0001)和研究组(F = 5.70;p < 0.0001)在纤维蛋白溶解活性方面均获得统计学显著差异。

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