Kikura Mutsuhito, Levy Jerrold H, Safon Rebecca A, Lee Mi K, Szlam Fania
Department of Anesthesiology, Emory University Hospital, Division of Cardiothoraic Anesthesilogy and Critical Care, The Emory Clinic, Atlanta, Georgia 30322, USA.
Platelets. 2004 Feb;15(1):37-41. doi: 10.1080/0953710032000158772.
Since the consumption of wine in the United States has increased in recent years, a number of patients may be admitted to the hospital on the morning of their elective surgery after having consumed wine with dinner the evening before. Research indicates that by reducing platelet aggregation, moderate alcohol consumption can protect against the development of coronary artery disease. Therefore, an alcohol consumption in the night before surgery may influence on a patient's hemostasis. This study was designed to investigate the effects of wine intake the night before surgery on platelet aggregation and thromboelastogram in healthy volunteers. Twenty-four healthy subjects participated in this randomized crossover study. Each subject drank either a half bottle (300-350 ml, approximately two glasses) of red or white wine during dinner on two separate occasions. Blood samples were taken on the morning of the scheduled wine consumption and at the same time on the morning after the wine consumption. Platelet counts, and thromboelastogram (TEG) were performed and platelet function was assessed by adenosine diphosphate (ADP) and collagen induced platelet aggregation tests. There were no significant changes in platelet number, platelet function and TEG values the morning after wine consumption, and there were no significant differences in platelet number, platelet function and TEG values between red and white wine. This study indicates that an intake of red or white wine during dinner does not affect platelet number, platelet function, or viscoelastic properties of blood the next morning. A half bottle of red or white wine intake prior to a next day's elective surgery has no significant risk of suppression of coagulation function.
近年来,美国的葡萄酒消费量有所增加,一些患者可能会在择期手术当天上午入院,他们在前一晚晚餐时饮用了葡萄酒。研究表明,适度饮酒通过减少血小板聚集,可以预防冠状动脉疾病的发生。因此,术前一晚饮酒可能会影响患者的止血功能。本研究旨在调查术前一晚饮用葡萄酒对健康志愿者血小板聚集和血栓弹力图的影响。24名健康受试者参与了这项随机交叉研究。每位受试者在两个不同的场合晚餐时饮用半瓶(300 - 350毫升,约两杯)红葡萄酒或白葡萄酒。在预定饮用葡萄酒的当天上午以及饮用葡萄酒后的次日上午同一时间采集血样。进行血小板计数和血栓弹力图(TEG)检测,并通过二磷酸腺苷(ADP)和胶原诱导的血小板聚集试验评估血小板功能。饮用葡萄酒后的次日上午,血小板数量、血小板功能和TEG值均无显著变化,红葡萄酒和白葡萄酒之间在血小板数量、血小板功能和TEG值方面也无显著差异。本研究表明,晚餐时饮用红葡萄酒或白葡萄酒不会影响次日上午的血小板数量、血小板功能或血液的粘弹性特性。次日择期手术前饮用半瓶红葡萄酒或白葡萄酒不会有显著抑制凝血功能的风险。