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老年冠心病高粘滞血症多因素分析
引用本文:孙韶刚,姜保芹,麻增昌,张伟强,鲍庆秋. 老年冠心病高粘滞血症多因素分析[J]. 潍坊医学院学报, 2002, 24(2): 123-126
作者姓名:孙韶刚  姜保芹  麻增昌  张伟强  鲍庆秋
作者单位:1. 潍坊医学院附属潍坊市人民医院,山东,潍坊,261041
2. 潍坊市市直机关医院
基金项目:潍坊市科委资助课题 (课题号 :1 999 2 1 6 2 )
摘    要:
目的 探讨降血粘药物的降粘疗效及最佳治疗组合。方法 随机选择 5 4例老年冠心病 (CHD)伴高粘滞血症患者 ,借助L9(34 )正交表 ,比较了 3种降血粘药物在不同CHD类型、血脂异常形式和D 二聚体水平情况下对血液粘滞性的影响。结果 本次试验的最佳水平组合为A1B2 C2 D1,即在心绞痛型CHD患者伴单纯高甘油三酯 (TG)血症 ,血清D 二聚体检测是阳性时 ,降纤酶使血液流变学 8项指标下降最明显。结论 老年CHD高粘滞血症患者在CHD心绞痛型伴有高甘油三酯血症和血清D 二聚体检测阳性时 ,降纤酶的降血粘效果优于尿激酶和东菱克栓酶。

关 键 词:冠心病  老年  高粘滞血症  药物治疗  正交试验  极差分析
文章编号:1004-3101(2002)02-0123-04
修稿时间:2002-01-11

Multifactorial Analysis on Old CHD Patienfs with Raised Blood Viscosity
SUN Shao-gang,JIANG Bao-qin,MA Zeng-chang,ZHANG Wei-qiang,BAO Qing-qiu. Multifactorial Analysis on Old CHD Patienfs with Raised Blood Viscosity[J]. Journal of Weifang Medical College, 2002, 24(2): 123-126
Authors:SUN Shao-gang  JIANG Bao-qin  MA Zeng-chang  ZHANG Wei-qiang  BAO Qing-qiu
Abstract:
Objective To evaluate the effect of Defibrinogenase,Batroxobin and urokinase(UK) on hemorrheology in eldly with Coronary heart disease.Method 54 old patients with CHD increased blood viscosity were selected into the study.By means of L 9(3 4) orthogonal design,the effect of three kinds of drugs on hemorrheology in varying type of CHD,hyperlipidemia and plasma D-dimer level were compared.Result The best combination of orthogonal design is A 1B 2D 2C 1.The matter of fact,it is more obvious for Defibrinogenase to decrease the blood viscosity in comparison with Batroxobin and UK in CHD patients with hypertriglyceridemia and positive plasma D-dimer.Conclusion Defibrinogenase is superior to Batroxobin or UK on function of reducing plasma viscosity in old CHD patients with hypertriglyceridemia and high serum D-dimer level.
Keywords:Coronary heart disease  eldly  Hemorrheology  Drug treatment  Orthogonal test
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