妊娠高血壓疾病產(chǎn)婦分娩前后血液流變學(xué)變化研究.doc

妊娠高血壓疾病產(chǎn)婦分娩前后血液流變學(xué)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(chǎn)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(chǎn)婦分娩前后血液流變學(xué)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(chǎn)婦為對照組，檢測并比較兩組患者產(chǎn)前及產(chǎn)后1、3d血液流變學(xué)的變化情況。結(jié)果觀察組患者產(chǎn)前及產(chǎn)后1、3d時(shí)的血漿黏度、全血低切黏度、全血低切還原黏度以及紅細(xì)胞聚集指數(shù)、紅細(xì)胞剛性指數(shù)均高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P0.05）；觀察組產(chǎn)后1、3d時(shí)的血漿黏度、全血低切黏度、全血低切還原黏度以及紅細(xì)胞聚集指數(shù)、紅細(xì)胞剛性指數(shù)均均低于產(chǎn)前，差異有統(tǒng)計(jì)學(xué)意義（P0.05）。結(jié)論妊娠高血壓產(chǎn)婦的血流存在異常，各血液流變學(xué)指標(biāo)均高于正常產(chǎn)婦，且分娩前后血液流變學(xué)呈持續(xù)性變化。 關(guān)鍵詞妊娠高血壓；血液流變學(xué)；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