老年脑卒中患者的血液流变学研究

目的：探讨老年脑卒中不同类型及其不同阶段的血液流变学特点。方法：检测１０４例老年脑卒中患者急性期及恢复期的血液流变学指标。结果：急性期及恢复期脑出血组与脑梗塞组的血液流变学多项指标有明显差异。主要表现为急性期脑出血患者血液粘度明显降低，而脑梗塞患者血液粘度明显增高；恢复期脑出血患者血液粘度较急性期明显增高，而脑梗塞患者的血液粘度明显降低。经统计学处理，二者均有显著性差异（Ｐ＜０．０１或＜０．０５）。结论：血液流变学的改变为老年脑卒中患者不同阶段及不同类型的临床治疗提供了可靠的科学依据。

Study on hemorrheology of gerontal cerebral apoplexy

Objective:To explore the hemorrheologic change on different types and stages of gerontal cerebral apoplexy.Methods:The hemorrheologic parameters were examined for 104 cases of gerontal cerebral apoplexy in emergent and recovery stages.Results:There were obvious differences of hemorrheologic parameters between emergent and recovery stages from cerebral hemorrhage and cerebral infarction.The blood viscosity was decreased significantly in emergent stage of cerebral hemorrhage,while increased obviously in patients with cerebral infarction.On the other hand,the blood viscosity was increased obviously in recovery stage than emergent stage of cerebral hemorrhage,while it was not in patients with cerebral infarction( P <0 01 or P <0 05).Conclusions:The hemorrheologic change in different stages of gerontal cerebral apoplexy can provide the scientific basis for treatment.