老年高血压病患者血液流变学变化的研究

Hemorheological changes of hypertension in aged patients

目的:探讨老年高血压病患者血液流变学变化及其临床意义。方法:检测了老年高血压病组患者178例,健康老年人对照组72例的血液流变学指标,并进行了统计学对比分析。结果:老年高血压患者的全血粘度、血浆粘度、红细胞压积(HCT)、红细胞聚集指数(Arbc)、纤维蛋白原(Fib)均明显高于对照组,差异有统计学意义(P<0.01)。结论:老年高血压病患者易发生血液流变学指标异常,患者血液处于高粘、高凝状态,易于形成血栓,容易并发缺血性心、脑血管疾病,因此,对这种患者应给予重视,采取降低血粘度,改善血液流变学措施,对预防心脑血管疾病的发生具有重要意义。

Objective： To explore the hemorheological changes of hypertension in aged patients. Method： The hemorheological changes were detected and analyzed in 178 aged patients with hypertension and 72 normal controls. Result： The levels of the hemorheological parameters（HCT, Arbc, Fib, et al） in patients were significantly higher than those in the normal controls （ P 〈 0,01）. Conclusion： Aged patients with hypertension are in a state of high viscous and high coagulability, and are tending to have embolism, cardio vascular or cerebral vascular diseases, and therefore measure for reducing the whole blood viscosity should be taken.