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慢性海洛因成瘾者血液流变学变化及全血粘度测定所得特征参数

Hemorheological changes and characteristic parameters derived from whole blood viscometry in chronic heroin addicts.

作者信息

Antonova N, Zvetkova E, Ivanov I, Savov Y

机构信息

Institute of Mechanics and Biomechanics, Bulgarian Academy of Sciences, Sofia, Bulgaria.

出版信息

Clin Hemorheol Microcirc. 2008;39(1-4):53-61.

PMID:18503110
Abstract

A group of 15 chronic opioid addicts (DA) with mean age 26.5+/-7.3 years was studied by means of a rotational Contraves Low Shear 30 viscometer and the results have been compared with a control group of 19 healthy subjects. It was found that the mean whole blood viscosity values of the investigated group of heroin abusers (n=15) were elevated compared to that of healthy persons (n=19) over the whole shear rate range and fell by more than ten orders of magnitude (Savov et al., 2006). The present investigation uses the coefficients of the models of Ostwald-de-Walle (power law) and Herschel-Bulkley law, which describe whole blood flow curves (tau-gamma) within the shear rates range from 10(-2) to 10(2) s(-1) and itself incorporate whole blood viscosity data in the entire shear rate range. A significant difference in the mean yield shear stress tau(0) values of the drug abusers' group compared to the controls was found. A strong positive linear correlation was determined between the parameters of RBC aggregation in the group of heroin addicts confirming our previous results (Ivanov and Antonova, 2005; Savov, Zvetkova et al., 2007; Savov, Antonova et al., 2007) for intensive RBC and platelet aggregation and morphological changes in DA group.

摘要

采用Contraves Low Shear 30旋转粘度计对15名平均年龄为26.5±7.3岁的慢性阿片类药物成瘾者(DA)进行了研究,并将结果与19名健康受试者组成的对照组进行了比较。结果发现,在所研究的海洛因滥用者组(n = 15)中,全血粘度平均值在整个剪切速率范围内均高于健康人组(n = 19),且下降幅度超过十个数量级(萨沃夫等人,2006年)。本研究使用了奥斯特瓦尔德 - 德瓦勒(幂律)模型和赫歇尔 - 布克利模型的系数,这些系数描述了剪切速率范围从10^(-2)到10^(2) s^(-1)内的全血流变曲线(τ - γ),并且本身包含了整个剪切速率范围内的全血粘度数据。研究发现,与对照组相比,药物滥用者组的平均屈服剪切应力τ(0)值存在显著差异。在海洛因成瘾者组中,红细胞聚集参数之间确定了强烈的正线性相关性,这证实了我们之前关于DA组红细胞和血小板强烈聚集以及形态变化的研究结果(伊万诺夫和安东诺娃,2005年;萨沃夫、兹韦特科娃等人,2007年;萨沃夫、安东诺娃等人,2007年)。

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