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本文对51～60岁一时性缺血性发作(TIA)患者52例和相同年龄组健康人80例进行了血液流变学10项指标的测定。对主要指标的临床意义作了简要说明。各项指标表明:TIA组较对照组均明显增高,P<0.01或<0.05,提示血液浓稠性、粘滞性、凝固性和血细胞聚集性的增加是引起 TIA 的重要环节。TIA 组男女间对比,男性增高更明显的是血球压积,全血比粘度,血浆比粘度和红细胞电泳时间;女性增高更明显的是全血还原粘度和纤维蛋白原。基于这种男女差别,也提示 TIA 发病率男性高于女性和男女两性别间治疗上的差异。血液流变学作为动态观察脑部供血情况的一项指标是实用的、可行的;以此开展普查,及早地预测、预防和治疗 TIA 对防治脑梗塞是非常必要的。
In this study, 52 hemodialysis patients aged 51-60 years with TIA and 80 healthy subjects of the same age were enrolled in the study. The clinical significance of the main indicators made a brief description. The indexes showed that the TIA group was significantly higher than the control group, P <0.01 or <0.05, suggesting that blood thickening, viscosity, coagulation and hematocrit increase is an important part of TIA. Comparison between men and women TIA group, men increased more obvious hematocrit, whole blood specific viscosity, plasma viscosity and erythrocyte electrophoresis time; more obvious increase in women with whole blood reducing viscosity and fibrinogen. Based on this difference between men and women, it is also suggested that the incidence of TIA in men is higher than that in women and gender. Hemorheology as a dynamic observation of brain blood supply is an indicator of practical and feasible; in order to carry out census, early prediction, prevention and treatment of TIA is very necessary for the prevention and treatment of cerebral infarction.