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肥胖孕妇血液流变学研究

[A study on hemorheology of pregnant women with obesity].

作者信息

Kobayashi H, Kaneko Y, Kaibara M, Marumoto Y

机构信息

Department of Obstetrics and Gynecology, Ichihara Hospital, Teikyo University School of Medicine, Chiba.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1993 Jun;45(6):571-6.

PMID:8315316
Abstract

The hemorheological properties of women with obesity were studied during pregnancy. Blood viscosity at a shear rate of 0.5/sec was measured with a Contraves Low Shear 100 viscometer and that at a shear rate of 115/sec was measured with a Well-Brookfield viscometer. The levels of blood viscosity (both shear rates) of non-pregnant and pregnant women with obesity were significantly higher compared than those of control women. Plasma viscosity was similar in both groups. The filterability of erythrocytes was determined with a St. George's Filtrometer. The initial relative filtration rate, which represented the deformability of each red cell, was similar in both groups. The clogging rate which represented the properties of red clogging capillaries was increased in non-pregnant women with obesity as compared in non-pregnant control women. However, it was similar in pregnant women in both groups. Hematocrits were increased significantly in women with obesity both in non-pregnant and pregnant states. There was no significant difference between fibrinogen levels in the two groups. The results of the present study suggested that the high frequency of pre-eclampsia among pregnant women with obesity was due to increased Ht and blood viscosity which were factors predisposing to pre-eclampsia.

摘要

对肥胖女性在孕期的血液流变学特性进行了研究。使用Contraves Low Shear 100粘度计测量剪切速率为0.5/秒时的血液粘度,使用Well-Brookfield粘度计测量剪切速率为115/秒时的血液粘度。肥胖非孕期和孕期女性的血液粘度水平(两个剪切速率下)均显著高于对照女性。两组的血浆粘度相似。使用圣乔治滤过仪测定红细胞的滤过性。代表每个红细胞变形性的初始相对滤过率在两组中相似。代表红细胞阻塞毛细血管特性的阻塞率在肥胖非孕期女性中高于非孕期对照女性。然而,两组孕期女性的该指标相似。肥胖女性在非孕期和孕期的血细胞比容均显著升高。两组的纤维蛋白原水平无显著差异。本研究结果表明,肥胖孕妇中先兆子痫的高发生率是由于血细胞比容和血液粘度增加,这些是先兆子痫的易感因素。

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