产后多瘀的血液流变和微循环研究

作者进行了４０例晚期孕妇（３６—４０周）和产妇产褥初期血瘀的血 液流变性和微循环观察，结果发现晚期孕妇和产妇产褥初期的血液粘滞性、聚集性 和凝固性均增强，血液流变学１２项指标均与健康对照组呈显著性差异（Ｐ＜０．０１）。 晚期孕妇微循环加权积分值 ２．１９士 ０．５４．呈轻度微循环障碍，而产妇产褥初 期加权分值３．５２士１．４４，呈明显微循环障碍，结果为不后多瘀提供了客观的生理 病理依据，并进一步分析了其改变机理．提示探索恰当的方法，改善血液流变性、微 循循环状况，是提高生理复原，减少多虚多瘀并发症的可行途径．

STUDY ON MICROCIRCULATION AND HEMORHEOLOGY IN PUERPERA WITH BLOOD STASIS

Blood stasis and hemorheology and microcirculation were studied during the 3rd trimester pregnency and early purperim in 40 cases of women with blood stasis. The result showed that blood viscosity and aggregation and coagulation were enhanced during late pregnancy and early puerperium. There was a significant difference in 12 indexes of hemorheology between women with blood stasis and normal control group (p(0. 01),mild hindrance of microcirculation was found in late pregnancy,but hindrance of microcirculation was not serious in early puerperium. The results provided an objective basis for the physiology and pathology for blood stasis during puerperium. They suggested that it is beneficial to patients with blood stasis to improve the condition of hemorheology and microcirculation.