妊娠高血壓疾病產婦分娩前后血液流變學變化研究.doc

妊娠高血壓疾病產婦分娩前后血液流變學變化研究 許艷蕾1米梅艷1崔富春1李紅艷1孫莉2 1.石家莊市第四醫(yī)院婦產科，河北石家莊050011；2.白求恩國際和平醫(yī)院，河北石家莊050011 摘要目的探討妊娠高血壓疾病產婦分娩前后血液流變學的變化。方法選取xx年1月xx年2月本院收治的120例妊娠高血壓患者為研究對象（觀察組），另外選取同期本院的120例正常產婦為對照組，檢測并比較兩組患者產前及產后1、3d血液流變學的變化情況。結果觀察組患者產前及產后1、3d時的血漿黏度、全血低切黏度、全血低切還原黏度以及紅細胞聚集指數、紅細胞剛性指數均高于對照組，差異有統(tǒng)計學意義（P0.05）；觀察組產后1、3d時的血漿黏度、全血低切黏度、全血低切還原黏度以及紅細胞聚集指數、紅細胞剛性指數均均低于產前，差異有統(tǒng)計學意義（P0.05）。結論妊娠高血壓產婦的血流存在異常，各血液流變學指標均高于正常產婦，且分娩前后血液流變學呈持續(xù)性變化。 關鍵詞妊娠高血壓；血液流變學；分娩前后 R714.246A1672-5654（xx）06（c）-0009-02 Researchthechangesofhemorheologyinthematernalwithpregnancy-inducedhypertensiondiseasebeforeandafterthepuerperachildbirth XUYanlei1MIMeiyan1CUIFuchun1LIHongyan1SUNLi2 1.Unitsanddepartments：DepartmentofObstetricsandGynecology,thefourthhospitalofShijiazhuangCity，Hebei050011,China;2.BethuneinternationalHepingHospital,Hebei050011,China AbstractObjectiveToexplorethechangesofhemorheologyinthematernalwithpregnancy-inducedhypertensiondiseasebeforeandafterthepuerperachildbirth.Methods120maternalwithpregnancy-inducedhypertensiondiseasewereselectedastheresearchobject(observationgroup)inourhospitalfromJanuaryxxtoFebruaryxx,Inaddition,120casesofnormalwomenwereselectedascontrolgroupinthesameperiodinourhospital,thechangeofbloodrheologyinprenatalandpostnatal1,3dintwogroupsweretestedandpared.ResultsThewholebloodlowshearviscosity,plasmaviscosity,wholebloodlowshearreductionviscosityanderythrocyteaggregationindex,erythrocyterigidityindexinobservationgroupprenatalandpostnatal1,3dwerehigherthanthoseincontrolgroup,thedifferencewasstatisticallysignificant(P0.05).Thewholebloodlowshearviscosity,plasmaviscosity,wholebloodlowshearreductionviscosityanderythrocyteaggregationindex,erythrocyterigidityindexinobserva