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血液粘度如何影响孕期循环变化?

How blood viscosity influences changes in circulation during pregnancy?

作者信息

Sakai K, Maeda H, Tsukimori K, Nagata H, Koyanagi T, Nakano H

机构信息

Department of Gynecology and Obstetrics, Faculty of Medicine, Kyushu University, Fukuoka.

出版信息

Fukuoka Igaku Zasshi. 1992 Aug;83(8):328-32.

PMID:1398428
Abstract

The changes of whole blood viscosity and plasma viscosity were studied in 15 normal non-pregnant women, and 120 normal pregnant women ranging from 8 to 39 weeks of gestation. The values of whole blood viscosity during normal pregnancy were significantly lower from 20 to 31 weeks of gestation than those in the other periods of gestation, and there was a positive correlation between whole blood viscosity and hematocrit. Plasma viscosity, however, did not change significantly during pregnancy. There was no correlation between whole blood viscosity and plasma viscosity, and there was also no correlation between plasma viscosity and plasma fibrinogen concentration. These findings suggest that decreases in whole blood viscosity, resulting from the change of packed-cell volume, may strongly contribute hemorheologically to the decrease in peripheral resistance during the second trimester.

摘要

对15名正常未孕女性以及120名孕龄在8至39周的正常孕妇的全血粘度和血浆粘度变化进行了研究。正常妊娠期间,全血粘度在妊娠20至31周时显著低于妊娠其他时期,且全血粘度与血细胞比容呈正相关。然而,妊娠期间血浆粘度无显著变化。全血粘度与血浆粘度之间无相关性,血浆粘度与血浆纤维蛋白原浓度之间也无相关性。这些发现表明,由于红细胞压积的变化导致全血粘度降低,可能在血液流变学上对孕中期外周阻力的降低有很大贡献。

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