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短暂性脑缺血发作血液流变性改变和危险因素分析
引用本文:黄萍,方华,程多智,赵红,邵林.短暂性脑缺血发作血液流变性改变和危险因素分析[J].中国血液流变学杂志,2010,20(4):652-654,657.
作者姓名:黄萍  方华  程多智  赵红  邵林
作者单位:[1]湖北医约学院附属太和医院检验科,湖北十堰442000 [2]湖北医约学院附属太和医院眼科,湖北十堰442000
摘    要:目的 探讨短暂性脑缺血发作(TIA)的血液流变特性和危险因素.方法 选择57例短暂性脑缺血发作患者,分析其血液流变性改变和危险因素.结果 短暂性脑缺血患者全血黏度、血沉、血沉方程K值、红细胞聚集指数、红细胞刚性指数均高于正常对照组(P〈0.05或P〈0.01);最常见的危险因素是高血压病、吸烟、酗酒、高甘油三酯血症.结论 短暂性脑缺血发作与血液流变性异常密切相关,在其发生发展过程中,血液流变性改变起着重要作用,血液流变学指标是TIA的有效观察指标;短暂性脑缺血易发生致死性脑卒中,公众应引起高度重视.

关 键 词:短暂性脑缺血发作  血液流变性  红细胞聚集性  危险因素

Analysis of Hemorheology and Risk Factors in Transient Ischemic Attack
HUANG Ping,FANG Hua,CHEN Duo-zhi,ZHAO Hong,SHAO Ling.Analysis of Hemorheology and Risk Factors in Transient Ischemic Attack[J].Chinese Journal of Hemorheology,2010,20(4):652-654,657.
Authors:HUANG Ping  FANG Hua  CHEN Duo-zhi  ZHAO Hong  SHAO Ling
Institution:HUANG Ping, FANG Hua, CHEN Duo-zhi, ZHAO Hong, SHA 0 Ling (Department of Clinical Laboratory, The Affiliated Taihe Hospital of Hubei College of Medicine and Pharmacy, Shiyan,Hubei,442000,China)
Abstract:Objective To study the hemorheological characteristics and risk factors of transient ischemic attack(TIA).Methods Measuring hemorheological parameters and risk factors of 57 patients with TIA and comparing with the control group.Results The whole blood viscosity, ESR, K value,AI,TK in the patients with TIA were significantly higher than the control group(P〈0.05 or P〈0.0l).The most common risk factors are hypertension,smoking,drinking and hypertriglyceridemia.Conelusion TIA has close relationship with hemorheological abnormalities.Hemorheological changes play an important role in the development of TIA. Hemorheological index is a useful indicator of TIA.TIA can cause stOke and sudden death,and great attention should be paid to it.
Keywords:transient ischemic attack  hemorheological characteristics  aggregation of red blood cells  risk factors
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