高压氧对不同证型脑卒中血液流变学影响的比较研究

[目的]观察高压氧对不同证型脑卒中血液流变学之间的内在联系。[方法]将54例脑卒中患者辨证分为3型,进行高压氧治疗前后血液流变学检测。[结果]阴虚风动型高切变率、中切变率、低切变率、红细胞聚集指数、红细胞刚性指数等明显高于风痰上扰痰热腑实型和气虚血瘀型（P〈0.01）。[结论]从血液流变学的角度,提示高压氧治疗脑卒中的最佳适应证为“虚风动型”阴虚风动是脑卒中血液流变学改变的病理基础。

Comparative Research on Influence of Hyperbaric Oxygen on Different Types of Cerebral Apoplexy

[Objective] To observe the intrinsic relation between hyperbaric oxygen and different types of cerebral apoplexy, sponsor to use limited hyperbaric oxygen resource by differentiation, greatly develop the essence of treatment based on differentiation in TCM. [Method] Divide 54 cases of cerebral apoplexy into 3 types for testing blood theology before and after hyperbaric oxygen therapy. [Result] The high shear rate, middle shear rate and low shear rate, red cell gathering index and rigidity index in deficient Yin and active wind type were markedly higher than wind sputum uprising type and deficient Qi and blood stasis type（P〈0.01）. [Conclusion] From blood theology, it points out that the fittest sign for hyperbaric oxygen to treat cerebral apoplexy is ＂deficient Yin and active wind type＂, which is the pathological basis in changes of blood rheology of cerebral apoplexy.