201例脑梗死、脑出血患者血液流变学分析

Comparative analysis on hemorheology in 201 cases with cerebral infarction and cerebral hemorrhage

目的：通过对脑梗死、脑出血患者血液流变学指标的比较，探讨血液流变学在脑血管疾病中的临床意义方法：选取201例脑梗死、脑出血患者及87例健康人对照组血液流变学指标进行统计学比较分析结果：脑梗死组、脑出血组的血液粘度（ηb）、还原粘度（ηr）、血浆粘度（ηp）、纤维蛋白原（Fib）、循环滞留时间（MST）、血栓形成系数（TFL）均显著高于对照组（P<0.001）；与脑梗死组比较，脑出血组各指标（除ηr外）均高于脑梗死组（Ｐ＜0.01～0.05），其中血浆粘度及纤维蛋白原增高明显结论:血液流变学可以作为脑出血与脑梗死鉴别的参考。

Aim:Hemorheology in 201 cases with cerebral infarction and cerebral hemorrhage were observed and its clinical meaning was investigated. Methods: We analyzed the hemorheology in 201 cases compared cerebral infarction group and cerebral hemorrhage group with 87 cases in control group. Results: We found that ηb,ηr,ηp, Fib, MST and TSF in cerebral infarction and cerebral hemorrhage group were significantly higher than that in control group(P<0.001). Compared with cerebral infarction group, each hemorheology index (except ηr) in cerebral infraction group was significantly higher than that in cerebral infraction group(P＜0.01～0.05). Conclusion: Hemorheology might use to distinguish the difference between cerebral infarction and cerebral hemorrhage.