摘要
目的:应用计算机血液流变学可视化技术(MC-FAN)观察血脂异常患者血液流动性,探讨血脂异常血瘀证患者血液流动性与中医血瘀证之间的关系。方法:98例血脂异常患者,按照中医辩证分型分为血瘀证组(n=50)和非血瘀证组(n=48),另设健康人群为对照组(n=29)。平行测定各组血脂指标总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白-胆固醇(LDL-C)、高密度脂蛋白-胆固醇(HDL-C)、极低密度脂蛋白-胆固醇(VLDL-C)以及血液流变学指标全血表观粘度(BV)、血浆粘度(PV)、红细胞压积(HCT)、红细胞聚集指数(EAI)、红细胞变形指数(EDI)、血浆纤维蛋白原(Fib)、血小板聚集率(PTGT)和血小板黏附率(PAdT),并利用MC-FAN观察血液流动时间(TT)。结果:与对照组比较,血瘀证组和非血瘀证组患者各血脂指标水平均显著升高(P<0.01),但两患者组间差异无统计学意义(P>0.05)。血瘀证患者(25μl、50μl、75μl、100μl)血液的TT分别为21.48±7.19s,52.92±18.72s,94.11±33.00s和164.60±65.20s,较非血瘀证组患者(17.70±4.14s、40.84±14.88s、69.90±27.76s、110.06±47.24s)均显著延长(P<0.01)。三组间血液流变学各指标差异均无统计学意义(P>0.05)。结论:血脂异常血瘀证患者的血液流动时间显著延长。
Objective: To explore the relationship between theology and blood stasis of traditional Chinese medicine (TCM) of hyperlipidemia with the MC-FAN, Method A total of 127 cases were enrolled,and tested all the patients' lipid, MC-FAN TT and hemorheology indexes. The 98 hyperlipldemia patients were divided into the Blood stasis group and non-blood stasis group with the rule of traditional Chinese medicine, and the other 29 normal lipid eases were in the controlled group. Results: Compared with healthy people, the blood lipid indicators rised in the blood stasis group and the non-blood stasis group, The MC-FAN TT (25μl TT is 21.48±7.19s,50μl TT is 52.92± 18.72s,75μl TT is 94.11±33.00s and 100μl TT is 164.60±65. 20s, P〈0.01) were extended,compared with non-blood stasis group. There were no significant differences between the 3 groups in rheology. Conclusion: For the patients of hyperlipidemia in blood stasis group, the MC-FAN TT is extended.
出处
《微循环学杂志》
2015年第3期23-26,F0004,共5页
Chinese Journal of Microcirculation
基金
中日合作血液流变学可视化基金项目(XYW01-20100526)