Sun Tingting, Huang Shaoqiang, Ge Mingyue
Department of Anesthesiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Medicine (Baltimore). 2025 Mar 14;104(11):e41883. doi: 10.1097/MD.0000000000041883.
This study aimed to establish reference ranges of the Century Clot® coagulation and platelet function analyzer (CPA) for pregnant women at ≥37 weeks of gestation. A total of 300 patients were included in this study. Use Century Clot coagulation and platelet function analyzer to analyze the venous blood of the subjects. Numerical values were recorded and differences in coagulation function indicators between normal full-term pregnant women and healthy non-pregnant women were compared, including activated clotting time (ACT), fibrin coagulation rate (CR), and platelet function (PF). Significant differences were observed in the results of relevant indicators measured using the CPA between women with late pregnancy and healthy non-pregnant women (P < .0001). The reference range for parameters of CPA in late pregnancy (pregnancy > 37 weeks) is determined by percentile method as follows: ACT 75.10 to 112.00 seconds, CR 23.20 to 46.98 mm/minute, PF 3.10 to 5.10 units. Compared with non-pregnant women, ACT in late-pregnancy women detected by the CPA decreased physiologically, while fibrin CR and PF increased. The establishment of a specific reference interval for ACT, CR, and PF in pregnant women is valuable for clinical practice.
本研究旨在建立妊娠≥37周孕妇的世纪凝血®凝血和血小板功能分析仪(CPA)的参考范围。本研究共纳入300例患者。使用世纪凝血凝血和血小板功能分析仪分析受试者的静脉血。记录数值,并比较正常足月孕妇与健康非孕妇之间凝血功能指标的差异,包括活化凝血时间(ACT)、纤维蛋白凝血率(CR)和血小板功能(PF)。晚期妊娠妇女与健康非孕妇使用CPA测量的相关指标结果存在显著差异(P < 0.0001)。采用百分位数法确定晚期妊娠(孕周>37周)时CPA参数的参考范围如下:ACT为75.10至112.00秒,CR为23.20至46.98毫米/分钟,PF为3.10至5.10单位。与非孕妇相比,CPA检测到的晚期妊娠妇女的ACT生理性降低,而纤维蛋白CR和PF升高。建立孕妇ACT、CR和PF的特定参考区间对临床实践具有重要价值。