慢性前列腺炎患者的血液流变学实验研究

An Experimental Study on the Hemorheological Characters in Patients with Chronic Prostatitis

目的 探讨慢性前列腺炎患者的血液流变学特点。方法 对 6 0例慢性前列腺炎患者 ,于治疗前和治疗 4周后分别进行血液流变学 1 2项指标的检测 ,对比分析治疗前后血液流变学的改变 ,并与同期男性健康组对照。结果 慢性前列腺炎组治疗前的 (高切、低切 )全血粘度、低切还原粘度、红细胞聚集指数、血小板粘附率和纤维蛋白原均显著高于对照组 (P <0 0 5～0 0 1 ) ,而脑血液量则显著低于对照组 (P <0 0 5 ) ;治疗 4周后 ,除全血粘度仍较高外 (P <0 0 5 ) ,其它血液流变学指标已逐渐恢复至正常水平 (与对照组无显著性差异 ,P >0 0 5 )。结论 慢性前列腺炎的高粘血症是炎症反应的体现 ,定期检查 ,有指导治疗的意义。

Objective To study the hemorheological characters in patients with chronic prostatitis.Methods In 60 cases with chronic prostatitis,the 12 hemorheological indices were tested and analyzed before and after four weeks of treatment,compared with 30 male healthy.Results In the group of chronic prostatitis,the whole blood viscosity(300s -1 and 1.0s -1 ),low shear reduction viscosity,erythrocyte aggregation index,platelet adherence rate and fibrinogen showed significantly higher than those of the healthy( P <0.05～0 01).But the cerebral blood flow was significantly lower than that of the healthy control( P <0.05) After 4 weeks of treatment,the higher indices gradually decreased.With the exception of the higher whole blood viscosity,there were no significantly difference between the four weeks' treatment and the healthy( P >0.05).Conclusion The hypervisaemia in chronic prostatitis responded to prostate inflammation.It's helpful for conducting treatment to examine the hemorheology periodically.