不同职业群体的血液流变性调查分析  

The Analysis of Risk Factors of High Viscosity Syndrome

作　　者：来锦[1] 胡桂才[1] 张凤霞[1] 赵晓丽[1] 王铁峰[1] 张燕[1] 

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《中国微循环》2007年第1期55-57,共3页Journal of Chinese Microcirculation

摘　　要：目的对不同职业群体高黏滞综合征的危险因素、转归及血液流变性的变化特点进行分析。方法对370例公务员,368例教师和医务人员,352例工人和农民的血液流变性的各项指标及高黏滞综合征的危险因素及转归进行回顾性分析。血液流变性的指标包括全血高、中、低切黏度、血浆黏度、血沉方程K值,纤维蛋白原等。按不同职业分为公务员组、教师和医务人员组、工人和农民组。结果与其他两组相比较,公务员组的全血高、中、低切黏度、血浆黏度、红细胞比容、血沉方程K值等血液流变性指标均高于其它两组,有显著性差异或比较显著性差异(P<0.01或P<0.05)。结论血液流变性多项指标的异常和导致高黏滞综合征的危险因素在公务员中表现的尤为明显。由于公务员长期吸烟、饮酒、膳食结构不合理及长期缺乏运动、压力过大、遵医不良等因素,造成血液流变性指标的异常,如不及时干预,轻者影响组织器官的正常功能,重者影响微循环血流灌注,最终导致心、脑血管疾病等严重后果。同时提醒高危人群定期体检,对于血液流变性异常的人群应改变不良生活习惯,合理膳食,戒除吸烟、饮酒等不良嗜好。Objective To analyze hazards, recovery and characteristics of high viscosity in people with various occupations. Methods Retrospective analysis was done on hazards and recovery of high viscosity and various items of hemorheelogy to 370 government employees, 368 teachers and medical staff, 352 workers and peasants. The items of hemorheology included high shear and medium shear and low shear viscosity of whole blood, plasma viscosity, plasminogen and erythrocyte sedimentation rate equation K. They were divided into 3 groups, group of government employees, group of teachers and doctors and group of peasants and workers. Results Compared with other two groups, high shear and medium shear and low shear viscosity of whole blood, plasma viscosity, plasminogen, and erythrocyte sedimentation rate equation K in group of government employees were higher and there was marked difference （P 〈 0.01 or P 〈 0.05）. Conclusion The increase of many hemorheological items and the risk factors of BHVS were very obvious in group of government employees. Their bad habits such as alcohol drinking, smoking, poor diet structure, lack of exercise, stress and poorly following doctor＇s advice were the key factors leading to BHVS, the functions of tissue and organs were influenced and microcireulation could be disturbed , leading to cardiovascular diseases ff above - ment/oned factors were not intervened. Regular physical examination was very important to people with abnormal hemorheology.

关 键 词：血液流变性 高黏滞综合征 危险因素 

分 类 号：R331[医药卫生—人体生理学]