不同地域血瘀证患者理化检查结果比较研究

Comparative Study of Laboratory Examination of Blood Stasis Syndrome from Different Places

目的为研究不同地域疾病的特点,以血瘀证为切入点,对不同地域血瘀证的理化指标进行研究。方法收集北京、云南、福建三地三级甲等医院血瘀证患者586例,对不同地域血瘀证的理化指标进行分析,总结不同地域血瘀证理化指标的差异性。结果在红细胞和血红蛋白方面,云南患者与北京和福建患者比较有显著差异(P<0.05)。在三酰甘油、总胆固醇及高、低密度脂蛋白胆固醇等方面,北京与福建和云南患者比较有显著差异(P<0.01)。北京患者的血压与福建和云南患者比较有极显著差异(P<0.01)。在全血高切、低切粘度方面,北京与云南和福建患者比较有极显著差异(P<0.01),在纤维蛋白原方面,北京与云南和福建患者比较有显著差异(P<0.05);在红细胞聚集指数、红细胞变形性方面,三地无差异,红细胞压积方面,云南与其他两地比较,有显著差异(P<0.01,P<0.05);在血小板粘附性、聚集性及血浆粘度方面,北京与其他两地患者比较,有极显著差异(P<0.01)。结论不同地域患者的客观检查指标有差异。有利于根据不同地域患者的特点指导疾病的预防和治疗,预测疾病的演变和转归。

Objectives To study the difference of the disease in different places, blood stasis syndrome was taken as an example to study syndromes of the different disease from different place. Methods The blood stasis syndrome patients from north, east and southwest of China were selected to study the laboratory examination of them, then summarize the difference of different place. Regults There were significantly difference on erythrocyte and haemoglobin between Yunnan and Beijing, Fujian（P〈0.05）. There were significant difference on triglyceride, total cholesterol, high-density lipoproteins and low density lipoprotein between Beijing and Fujian, Yunnan （P〈0.01）. On the aspect of blood pressure, there were significant difference between Beijing and Fujian, Yunnan （P〈0.01）. On the aspect of blood viscosity, there were significant difference between Beijing and Yunnan, Fujian （P〈0.01）. On the aspect of fibrinogen, there were significant difference between Beijing and Yunnan, Fujian （P〈0.05）. On the aspect of the index of erythrocyte aggregation ＆ red blood cell deformation, there were no difference among the three places. On the aspect of hematocrit, there were significant difference between Yunnan and other two place （P〈0.01, P〈0.05）. On the aspect of platelet adhere and platelet aggregation, there were significant difference between Beijing and other two place （P〈0.01）. Conclusions For the same symptom, there were different lab indexes in patients from different place, which can guide prevention and treatment of disease.