摘要
笔者观察了１５２例糖尿病患者入院时的血液流变学变化。在１０４例中分别有心脑血管、周围血管并发症，视网膜病变、高血压及肾脏病变等五种并发症。结果全血粘度明显高于正常值，其中有上述五种并发症者之全血粘度又明显高于无并发症的糖尿病患者；血浆粘度、血沉、纤维蛋白原明显增高者分布在６０岁以上的高龄组并发心脑血管病及高血压症组中；红细胞压积均高于正常，尤其是并发心脑血管病及高血压患者；血沉方程Ｋ值均有增高，提示糖尿病患者的红细胞变形能力均有下降；红细胞聚集指数均有增高，周围血管并发症及肾脏并发症者更为明显。认为改善血液流变学各项指标对防治糖尿病大小血管并发症具有非常重要意义。
The authors observed the hemorrheologic changes of 152 patients with diabetes at admission. Among them 104 cases were complicated by cardiovascular disease. hypertension.peripheral vascular disease.retinopathy and kidney disease.respectively.The results showed that the whole blood viscosity in patients with diabetes was apparently higher than that in the normal and in the complicated patients than in the uncomplicated ones. The plasma viscosity,FSR,fibrinogen had a significant increase in 60 year old or over patients complicated by cardiovascular disease and hypertension. Hematocrit value was all above the normal.especially in the patients complicared by cardiovascular disease and hypertension. ESR, equation K value was also above the normal,which suggests that RBC deformability has a dramatic decline.RBC aggregation index was all increased.especially in patients complicated by peripheral vascular and kidney disease.The authors believe that improving every index of hemorrheology has an important significance for the treatment of diabetes patients with varied vascular complications.
出处
《滨州医学院学报》
1994年第1期21-22,29,共3页
Journal of Binzhou Medical University
