Blombäck M, Eneroth P, Landgren B M, Lagerström M, Anderson O
Dept. of Clinical Chemistry and Blood Coagulation, Karolinska Hospital, Stockholm, Sweden.
Thromb Haemost. 1992 Jan 23;67(1):70-5.
The intraindividual variability in terms of coagulation analyses was explored in 10-16 samples collected from each of 15 women during one menstrual cycle. For comparison, six men were sampled six times during a period of 30 days. The following variables were analysed: FVII, FVIII, FX, vWF:Ag, vWF:ristocetin cofactor, fibrinogen, antithrombin, plasminogen and anti-plasmin. The results demonstrated mean coefficients of variation ranging between 4.5 (plasminogen) and 20.7 (vWF:Ag). In certain individuals, the intraindividual variability amounted to nearly 40%, in particular in the assays of FVIII and vWF:Ag. No direct relation between these two factors and oestradiol, progesterone or testosterone levels could be observed in our individuals. The implications of these variations are discussed in terms of disease prediction and diagnosis of coagulation disorders.
在一个月经周期内,从15名女性中的每一位收集10 - 16份样本,探讨凝血分析方面的个体内变异性。作为比较,在30天内对6名男性进行了6次采样。分析了以下变量:凝血因子VII、VIII、X、血管性血友病因子抗原(vWF:Ag)、血管性血友病因子瑞斯托霉素辅因子(vWF:ristocetin cofactor)、纤维蛋白原、抗凝血酶、纤溶酶原和抗纤溶酶。结果显示变异系数平均值在4.5(纤溶酶原)至20.7(vWF:Ag)之间。在某些个体中,个体内变异性高达近40%,特别是在凝血因子VIII和vWF:Ag的检测中。在我们的研究对象中,未观察到这两个因素与雌二醇、孕酮或睾酮水平之间存在直接关系。从疾病预测和凝血障碍诊断的角度讨论了这些变异的影响。