产后多瘀的血液流变性和微循环

Microcirculation and Hemorheology in Puerpera with Blood Stasis

观察４０例妊娠晚期（３６～４０周）和产褥初期的血瘀证者血液流变性和微循环，发现二者的血液粘滞性、聚集性和凝固性均增强．血液流变学１２项指标均与健康对照组呈显著性差异（Ｐ＜０．０１）。晚期孕妇微循环加权积分值２．１９±０．５４，呈轻度微循环障碍，而产妇产褥初期加权积分值３．５２±１．４４．呈明显微循环障碍。这一结果为产后多瘀提供了客观的生理依据。通过进一步分析其改变机理，提示探索恰当的方法，改善血液流变、微循环状况是提高生理复旧、减少多虚多瘀并发症的可行途径。

Blood stasis and hemorheology and microcirculation were studied during the 3rd trimester pregnancy and early puerperium in 40 cases of women with blood stasis.The results showed that blood viscosity and aggregation and coagulation were enhanced during in the late pregnancy and early puerperium;thore was significant difference in 12 indexes of hemorheology between women with blood stasis and normal control group(P<0.01),mild hincerance of microcirculalion was found nite late pregnancy,but hincerance of microcirculation was nerg serious in early puerperium.The results prorided an objectine basis of the physiology and patheology for blood stasis during puerperium and suggested that it be beneficial to recovery of patients with blood stasis to improve the condition of hemorheology and microcirculation.