产前血红蛋白血小板计数D-二聚体及凝血三项检测在高龄产妇产后出血预测中的应用价值

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The application value of prenatal hemoglobin，plateletcount，D-dimer and coagulation in the predictionof postpartum hemorrhage in advanced maternal age

Yan Yun DepartmentofClinicalLaboratory，NanchengGeneralHospital（NanchengPeople'sHospital），Fuzhou344799，na 【Abstract】ObjectiveTo analyze the combinationcombined testing of prenatal hemoglobin （Hb），platelet count （PLT），D-dimer （D - D）andcoagulation [thrombin time （TT），prothrombin time （PT），activated partial thromboplastin time （APTT）] topredictthevalueof postpartum hemorrhageinadvancedmaternalage.Methods Eightyadvanced maternal age patients elderlypatientswithpostpartum hemorrhage admited toour hospital from May202Oto May 2O23 were included inthe observation group，and82advanced maternal ageelderly women who gave normal delivery inour hospital during thesame period were included in thecontrol group.Hb，PLT，D-D，TT， PT，APTT were analyzed;and the receiver operating characteristicsubject working curve （ROC））was depicted to analyze the valueof Hb，PLT，D-D，TT，PTand APTT to predict postpartum hemorrhage.ResultsHband PLTin the observation group were lowerthan those in the control group.The D-D was higher than thatin the control group.. TT，PT，and APTT were longer than those in the control group（ P <0.05）. ROC result displayed， that the area under the curve （AUC）（95%CI） ofcombined testing of Hb，PLT，D-D，TTof PT，andPT is 0.904（0.856，0.952），Higher higherthan thatof theindividual indicators0.758（0.682，0.832），0.655（0.572，0.739），0.880（.826，0.934），0.806 （0.735，0.877），0.853（0.789，0.916），0.856（0.793，0.919）forseveral indicators），respectively.ConclusionHb， PLT，D-D combined with TT，PTand APTTcan efectively predict postpartum hemorrhage in advanced mate-rnal ageadvanced women，which has certain application value and can be applied in clinical practice.

【Key words】 Postpartum hemorrhage;Hemoglobin; Platelet count;D-dimerDOI：10.19522/j.cnki.1671-5098.2025.01.013

产后出血为最为严重的分娩并发症之一，其患病率、死亡率在临床均处在较高水平[1-2]。（剩余5586字）