脑出血患者急性期血液流变学检测分析  

Hemorheology of intracerebral hemorrhage patients at acute phase

作　　者：符月琴[1] 陈涛[1] 黄涛[1] 王鹏程[1] 高长玉[2] 周贞学[1] 

机构地区：[1]海南省人民医院,海南海口570311 [2]河北医科大学第二医院神经内科,河北石家庄050000

出　　处：《中国热带医学》2009年第11期2126-2127,共2页China Tropical Medicine

摘　　要：目的 分析脑出血患者急性期血液流变学指标的变化及其临床意义。方法选88例符合标准的病人，检测其血液流变学指标，按出血量、有无合并脑梗塞、有无合并高血压、病情等分组分析。结果纤维蛋白原、全血还原粘度低切高于正常参考值，但红细胞压积明显低于正常值。纤维蛋白原指标在病程长、合并脑梗塞、病情轻时偏高，组间比较差异有统计学意义（P＜0．01～0．05）。全血还原粘度在出血量少组偏高，组间比较差异有统计学意义（P〈0．05）。全血粘度、血浆粘度在合并高血压病组偏高，组间比较差异有统计学意义（P〈0．05）。结论脑出血患者急性期的血液流变学指标与病程、病情、出血量相关。Objective To analyze the Variations of hemorrheological parameters in cerebral hemorrhage patients at acute stage. Methods There 88 patients met the diagnostic standard were observed. Results The levels of fibrinogen and whole blood reduction viscosity low cutting value in males and females were higher than normal reference indexes,but the hematoerit count was lower obviously than the normal indexes. The level of fibrogen in the groups with long illness duration,complicated cerebral infarction and slight illness was a little higher,showing significant difference bwetween groups （P〈0.01-0.05）. In the group of complicated hypertension,the levels of whole blood viscosity and plasma viscosity were a little higher,showing significant difference between groups （P〈0.05）. Conclusions The hemorrheologieal parameters of intracerebral hemorrhage patients are assoieated with the duration and severity of illness,amount of hemorrhage.

关 键 词：脑出血 血液流变学 临床 

分 类 号：R743.34[医药卫生—神经病学与精神病学]