孕期血小板的变化轨迹——低风险孕妇在硬膜外麻醉前是否需要进行产时全血细胞计数？

Trajectory of platelets in pregnancy - do low-risk women need an intrapartum full blood count prior to epidural?

作者信息

Duong Christine, Kidson-Gerber Giselle, Peters Nancy, Listijono Dave R, Henry Amanda

机构信息

Women's and Children's Health, St George Hospital, Sydney, New South Wales, Australia.

South Eastern Laboratory Services, Prince of Wales Hospital, Sydney, New South Wales, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2015 Oct;55(5):511-4. doi: 10.1111/ajo.12362. Epub 2015 Jul 29.

DOI:10.1111/ajo.12362

PMID:26222736

Abstract

This study aimed to investigate whether pregnant women with a normal 28-week gestation platelet count and no high-risk conditions for thrombocytopenia require a pre-epidural platelet count. All 1844 included women (platelet count > 150 × 10(9) /L at 28 weeks' gestation, term singleton birth, no thrombocytopenia risk conditions) had a platelet count > 100 × 10(9) /L prebirth, suggesting low-risk pregnant women do not require pre-epidural full blood count solely to check platelet count.

摘要

本研究旨在调查妊娠28周时血小板计数正常且无血小板减少高危因素的孕妇是否需要在硬膜外麻醉前进行血小板计数。纳入的1844名女性（妊娠28周时血小板计数>150×10⁹/L，足月单胎分娩，无血小板减少风险因素）产前血小板计数均>100×10⁹/L，这表明低风险孕妇无需仅为检查血小板计数而在硬膜外麻醉前进行全血细胞计数。