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止血与口服避孕药。

Haemostasis and oral contraceptives.

作者信息

Farag A, Bottoms S F, Mammen E F, Hosni M, Ali A

机构信息

Department of Surgery, Pathology, Physiology, Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan.

出版信息

Folia Haematol Int Mag Klin Morphol Blutforsch. 1988;115(3):340-5.

PMID:2465227
Abstract

Selected hemostasis parameters were assayed in 131 women ingesting different kinds of oral contraceptives and 36 control women. No differences were noted in the plasma levels of fibrinogen, antithrombin III, prekallikrein, alpha 2 antiplasmin, fibrinopeptide A, platelet factor 4 and beta-thromboglobulin. Protein C and plasminogen levels were significantly higher in pill users (p less than 0.001, p less than 0.01) and fibronectin levels were lower (p less than 0.05). Canonical correlation, performed between clinical parameters and hemostasis data, revealed a negative correlation between antithrombin III levels and family history for thromboembolic diseases. A positive correlation was noted between fibrinogen and fibronectin levels in obese OC users. The data suggest that women taking OCs are not in a state of "hypercoagulability."

摘要

对131名服用不同种类口服避孕药的女性和36名对照女性进行了选定的止血参数检测。在纤维蛋白原、抗凝血酶III、前激肽释放酶、α2抗纤溶酶、纤维蛋白肽A、血小板因子4和β-血小板球蛋白的血浆水平上未发现差异。服用避孕药者的蛋白C和纤溶酶原水平显著更高(p<0.001,p<0.01),而纤连蛋白水平更低(p<0.05)。对临床参数和止血数据进行典型相关性分析,结果显示抗凝血酶III水平与血栓栓塞性疾病家族史之间呈负相关。在肥胖的口服避孕药使用者中,纤维蛋白原和纤连蛋白水平之间呈正相关。数据表明,服用口服避孕药的女性并非处于“高凝状态”。

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