血栓弹力图在妊娠期糖尿病孕妇凝血状态监测中的应用价值OA

Objective:To explore the value of thromboelastography(TEG)in monitoring the coagulation status in pregnant women with gestational diabetes mellitus(GDM).Method:Forty pregnant women with GDM who visited the First People's Hospital of Jingdezhen from June 2023 to April 2025 were selected as the observation group,and another 40 healthy pregnant women who underwent prenatal examinations at the same hospital during the same period were included as the control group.Both groups underwent traditional coagulation function and TEG examinations.The TEG indexes[coagulation reaction time(R value),coagulation formation time(K value),coagulation formation rate angle(α angle),maximum amplitude(MA value)and coagulation comprehensive index(CI value)]and traditional coagulation function indexes(PT,APTT,FIB,D-D)were compared between the two groups,and the correlation between TEG indexes and coagulation function indexes were analyzed.Result:The FIB levels in the observation group was higher than that in the control group(P<0.05).There were no statistically significant differences in the levels of PT,APTT,and D-D between the two groups(P>0.05).The R value and K value of the observation group were shorter than those of the control group,the α angle and MA value were larger than those of the control group,and the CI value was higher than that of the control group(P<0.05).Pearson correlation analysis showed that the R value was negatively correlated with D-D,the CI value was positively correlated with D-D(P<0.05).Conclusion:TEG can more sensitively and comprehensively reflect the coagulation status of pregnant women with GDM.