Crowley J P, Valeri C R, Metzger J, Gray A, Schooneman F, Man N K, Merrill E
Department of Medicine, Brown University, Providence, Rhode Island.
Am J Clin Pathol. 1991 Dec;96(6):729-37. doi: 10.1093/ajcp/96.6.729.
A significant impediment in determining the relative contribution of whole blood viscosity to the pathogenesis of cardiovascular and cerebrovascular disease has been the lack of an uncomplicated method to measure whole blood viscosity. To address this problem, a simplified porous bed viscometer has been developed to measure whole blood viscosity. Whole blood is passed through a porous bed of branching channels with a mean pore diameter of 69.6 +/- 20.2 microns and an estimated mean shear rate of 19.6 seconds-1. The effects of sample collection, sample storage, and temperature are described. The mean whole blood viscosity of 242 healthy persons was 22.7 +/- 5.3 seconds, which, when corrected to centipoise using Darcy's equation, corresponds to an apparent viscosity of 5.7 +/- 1.3 cp. There was a significant difference in the whole blood viscosity of normal men and women related to their different packed cell volumes. Platelets and granulocytes influenced whole blood viscosity in proportion to their contribution to the total packed cell volume. Fibrinogen levels did not significantly influence measured whole blood viscosity, which is consistent with the disaggregating conditions and the mean shear rate of the instrument. The porous bed viscometer is a convenient means to measure whole blood viscosity and it should be useful as a screening test for clinical and epidemiologic studies.
在确定全血粘度对心脑血管疾病发病机制的相对贡献方面,一个重大障碍是缺乏一种简单的方法来测量全血粘度。为了解决这个问题,已开发出一种简化的多孔床粘度计来测量全血粘度。全血通过一个具有分支通道的多孔床,其平均孔径为69.6 +/- 20.2微米,估计平均剪切速率为19.6秒-1。描述了样本采集、样本储存和温度的影响。242名健康人的平均全血粘度为22.7 +/- 5.3秒,使用达西方程将其校正为厘泊后,对应表观粘度为5.7 +/- 1.3厘泊。正常男性和女性的全血粘度因其不同的红细胞压积而存在显著差异。血小板和粒细胞对全血粘度的影响与其对总红细胞压积的贡献成比例。纤维蛋白原水平对测得的全血粘度没有显著影响,这与仪器的分散条件和平均剪切速率一致。多孔床粘度计是测量全血粘度的一种便捷方法,应作为临床和流行病学研究的筛查试验有用。