紫外线照射充氧自血回输治疗脑梗塞对血液流变学等的影响  

Ultraviolet blood irradiation and oxygenation for hemorrheology in cerebral infarction

作　　者：王东明[1] 陈安鲁 祁学文[1] 

机构地区：[1]山东省烟台市烟台山医院神经科,264001

出　　处：《中华理疗杂志》2000年第1期7-8,共2页Chinese Journal of Physical Therapy

摘　　要：目的　探讨紫外线照射充氧自血回输治疗急性脑梗塞患者对神经功能缺损度及血液流变学等的影响。方法　对１８ 例急性脑梗塞患者，采用ＧＸＹ－ Ⅲ型光量子血疗仪，按粟秀初方法进行紫外线照射充氧自血回输治疗，记录治疗前后神经功能缺损度总评分，观察治疗前、治疗１ 次后２４ ｈ、疗程结束后的血液流变学、血气分析、血脂分析及免疫球蛋白等指标变化。结果　神经功能缺损度总评分治疗前后分别为１８４ 分和４５ 分，差异有非常显著性；全血粘度、血浆粘度、红细胞压积及变形指数、血沉方程Ｋ 值、纤维蛋白原等，治疗前与治疗１ 次后及疗程后比较，差异均有显著性和非常显著性；ＰＯ２ 、ＰＣＯ２ 红细胞聚集指数、ＩｇＧ 治疗前与疗程后比，差异均有显著性。结论　急性脑梗塞患者的神经系统功能改善与高粘血症状态的改善密切相关，该方法的治疗可加强有氧代谢，促进病变组织的修复。Objective To explore the influence of ultraviolet blood irradiation and oxygenation(UBIO) on nervous function deficiency,hemorrheology etc. in patients with cerebral infarcton.Methods 18 cases with acute cerebral infarction were treated with UBIO treatment.Total mark of nervous function deficiency was recorded at pre- and post-treatment.The indexes of hemorrheology,blood fat analysis,blood-gas analysis and immunoglobulin were observed before UBIO treatment and after 24h of UBIO or end. Results The total mark of nervous function deficiency at pre- and post-UBIO was 184 points and 45 points respectively(P<0.01).Made a comparison batween the pre-UBIO and post-UBIO,there were significant differences in whole blood viscosity and plasma viscosity,hematocrit,RBC deformability,K-value of ESR equation and fibrinogen.The phenomena were also presented in PO 2,PCO 2,erythrocyte aggregation and IgG(P<0.05～0.01). Conclusion It is indicated that the improvement of nervous functions is closely related to reduction of blood hyperviscsity.UBIO can promote the repair of diseased tissues.

关 键 词：脑梗塞 血液流变学 血气分析 光量疗法 UBIO 

分 类 号：R743.330.5[医药卫生—神经病学与精神病学]