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肝炎后肝硬化和酒精性肝硬化患者流变学参数的比较。

Comparison of rheological parameters in patients with post hepatitic and alcoholic cirrhosis.

作者信息

Tamer Sule, Cefle Kivanc, Gokkusu Cahide, Ademoglu Evin, Ozturk Sukru, Vatansever Sezai, Palanduz Sukru, Guler Kerim

机构信息

Istanbul University, Istanbul Medical Faculty, Department of Physiology, Istanbul, Turkey.

出版信息

Clin Hemorheol Microcirc. 2007;36(3):247-52.

Abstract

It is well known that various constituents of blood, especially lipids and proteins, and hematological parameters are altered in chronic liver diseases. These alterations have been shown to affect rheological parameters in various studies. However, it is not clear whether the etiology of chronic liver has any specific influence on flow dynamics of blood. In the present study, we analysed erythrocyte rigidity (ER), whole blood and plasma viscosity, and other factors related to blood rheology (including hematological parameters, plasma lipids and proteins) in healthy controls (n=20) and patients with post hepatitic and alcoholic cirrhosis (n=15 in each group). ER was significantly higher (p<0.05) in both groups compared to controls. Although blood viscosity was found to be low in both groups, the difference reached statistical significance only in patients with alcoholic cirrhosis. On the other hand, when compared to controls, plasma viscosity was significantly lower in patients with alcoholic cirrhosis and significantly higher in patients with posthepatitic cirrhosis (p<0.05). When we compare post hepatic and alcoholic cirrhosis with each other, there was no significant difference in ER between the two groups.

摘要

众所周知,慢性肝病患者血液中的各种成分,尤其是脂质和蛋白质以及血液学参数会发生改变。在各种研究中,这些改变已被证明会影响流变学参数。然而,尚不清楚慢性肝病的病因是否对血液流动动力学有任何特定影响。在本研究中,我们分析了健康对照组(n = 20)以及肝炎后肝硬化和酒精性肝硬化患者(每组n = 15)的红细胞刚性(ER)、全血和血浆粘度以及其他与血液流变学相关的因素(包括血液学参数、血浆脂质和蛋白质)。与对照组相比,两组的ER均显著更高(p < 0.05)。虽然两组的血液粘度均较低,但差异仅在酒精性肝硬化患者中具有统计学意义。另一方面,与对照组相比,酒精性肝硬化患者的血浆粘度显著降低,而肝炎后肝硬化患者的血浆粘度显著升高(p < 0.05)。当我们将肝炎后肝硬化和酒精性肝硬化相互比较时,两组之间的ER没有显著差异。

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