100例糖尿病患者血液检测结果临床分析

Clinical analysis of blood test results of diabetes

目的对100例糖尿病患者血液检测结果进行临床分析。方法选择2009年1月~2010年3月在笔者所在医院就诊的100例糖尿病患者为治疗组,选择经体检无心血管疾病、血糖正常、无糖尿病的健康者100例为对照组。清晨空腹静脉采血,血黏度用肝素抗凝的静脉血,每毫升血液中含肝素为31.25 U,采用仪器为＂拜尔1650型＂快速血糖仪（上海强生生产）,每份样本检测3次,取其平均值。结果糖尿病组与健康对照组的血流变学检测结果比较,在所测的血液流变项目中,全血黏度（低切）、血浆黏度、红细胞压积、血沉方程K值、纤维蛋白原与对照组有显著差异（P〈0.01）;全血黏度（高切）、全血还原黏度、血沉两组相比有统计学意义（P〈0.05）。结论糖尿病患者在查血糖的同时也应进行血液流变学的检查,对预防糖尿病患者微血管病变所致的合并症,及指导治疗和疗效观察方面均有一定的参考价值。

Objective To analyse the test results of 100 patients with diabetes blood for clinical analysis.Methods From January 2009 to March 2010 in our hospital 100 diabetic patients in the control group without cardiovascular disease selected by physical examination,blood sugar normal,healthy people without diabetes of 100 cases.Fasting venous blood,blood viscosity of blood with heparin,including heparin per milliliter of blood was 31.25 U,using instruments as ＂Bayer 1650＂fast blood glucose meter（Shanghai Johnson production）,each sample test 3 times,the mean value.Results The diabetic group and control group of healthy blood rheology test results comparison： in the measured rheology project,whole blood viscosity（low shear）,plasma viscosity,hematocrit,sedimentation equation K,fibrin the original meaning and the control group（P0.01）,whole blood viscosity（high shear）,whole blood reduced viscosity,erythrocyte sedimentation rate,compared the two groups was statistically significant（P0.05）.Conclusion Diabetic patients should check blood sugar hemorheology also checks the prevention of diabetes complications caused by microvascular disease and guiding treatment and observation area has some reference value.