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血液的电阻抗和红细胞沉降率(ESR)

Electrical impedance and erythrocyte sedimentation rate (ESR) of blood.

作者信息

Zhao T X, Lockner D

机构信息

Department of Medical Engineering, Karolinska Institute, Huddinge, Sweden.

出版信息

Biochim Biophys Acta. 1993 Dec 12;1153(2):243-8. doi: 10.1016/0005-2736(93)90411-r.

Abstract

The electrical impedance of blood is primarily determined by plasma resistance Rp, cell interior resistance Ri, and cell membrane capacitance Cm. These impedance parameters were measured for 62 samples with various erythrocyte sedimentation rates (ESR = 1-150 mm/h). A formula for estimating ESR by Rp and Cm was obtained by linear regression as: In (ESR) = 10.16-0.016 x f0, (r = 0.974, P < 0.001), where f0 = 10(9)/(2 pi.Rp100.Cm100) defined as the effective characteristic frequency in kHz, Rp100 = Rp/h in omega cm, Cm100 = Cm/h in pF/cm, h is the haematocrit in decimal. The 95% confidence intervals for the coefficients in the above equation were 9.73 to 10.59 and -0.017 to -0.015. The origin of the association was found reasonable since factors increasing the ESR, i.e., the concentration of some plasma proteins and the size of the blood cells, also elevate the capacitance. The results imply that the impedance measurement might be an alternative method for fast determination of the ESR.

摘要

血液的电阻抗主要由血浆电阻Rp、细胞内电阻Ri和细胞膜电容Cm决定。对62个具有不同红细胞沉降率(ESR = 1 - 150 mm/h)的样本测量了这些阻抗参数。通过线性回归得到了一个用Rp和Cm估算ESR的公式:ln(ESR) = 10.16 - 0.016×f0,(r = 0.974,P < 0.001),其中f0 = 10(9)/(2π.Rp100.Cm100)定义为以kHz为单位的有效特征频率,Rp100 = Rp/h,单位为Ω·cm,Cm100 = Cm/h,单位为pF/cm,h是以小数表示的血细胞比容。上述方程中系数的95%置信区间为9.73至10.59以及 - 0.017至 - 0.015。发现这种关联的起源是合理的,因为增加ESR的因素,即一些血浆蛋白的浓度和血细胞的大小,也会提高电容。结果表明,阻抗测量可能是一种快速测定ESR的替代方法。

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