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[动脉粥样硬化和更年期抑郁症患者血液微循环流变学特性的变化及其纠正]

[Changes in the microcirculatory rheological properties of the blood and their correction in patients with atherosclerotic and involutional depressions].

作者信息

Vesel'skiĭ I Sh, Pliushko A D

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1995;95(5):69-74.

PMID:8585381
Abstract

The microcirculatory state (by the method of conjunctival biomicroscopy) and ADP-induced platelet aggregation were examined in 42 patients with atherosclerotic and 34 patients with involutional depression both before and after the treatment which included vasoactive preparations and calcium antagonists. It was determined vascular and intravascular alterations predominance and increase of platelet aggregation in patients with atherosclerotic depression independently of leading syndrome, in patients with involutional depression with anxiety prevalence as well as in patients in stuporous state. The tendency was revealed of such disturbances increasing as for as psychosis was extended. Trental and Cavinton antiplatelet and spasmolytic properties were potentiated by inclusion of Corinfar in complex therapy and that promoted earlier microcirculatory alterations removal as well as aggregatograms and patient mental state normalization.

摘要

采用结膜生物显微镜检查法,对42例动脉粥样硬化患者和34例更年期抑郁症患者在使用血管活性制剂和钙拮抗剂进行治疗前后的微循环状态(结膜生物显微镜检查法)及ADP诱导的血小板聚集情况进行了检查。结果发现,动脉粥样硬化性抑郁症患者,无论其主要综合征如何;更年期抑郁症伴焦虑症患者以及处于木僵状态的患者,均存在血管和血管内改变占优势以及血小板聚集增加的情况。随着精神病病情的发展,这种紊乱有加重的趋势。在综合治疗中加入科立伏,可增强曲克芦丁和长春西汀的抗血小板及解痉特性,这有助于更早消除微循环改变,使血小板聚集图和患者精神状态恢复正常。

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