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[突发性耳聋患者的血液流变学紊乱]

[Hemorheological disorders in patients with sudden deafness].

作者信息

Zheng S, Jiang R, Fan M

机构信息

Otolaryngological Department, 7th People's Hospital of Chengdu.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 1997 Mar;14(1):11-4, 57.

PMID:9817657
Abstract

Fourteen hemorheological and related parameters of blood samples derived from 59 patients with sudden deafness were observed and were compared with those of blood samples got from 512 healthy persons. The ratio viscosity of whole blood (6.50 +/- 1.07), reduced viscosity of whole blood (12.37 +/- 1.80), and plasma viscosity (1.84 +/- 0.14) in male patients were significantly higher than those (6.05 +/- 0.63, 11.06 +/- 1.04, and 1.70 +/- 0.07, respectively) in male controls. The reduced viscosity of whole blood (16.62 +/- 3.87) and plasma viscosity (1.92 +/- 0.13) in female patients were also significantly higher than those (14.40 +/- 2.27 and 1.72 +/- 0.06, respectively) in female controls. The findings above suggest that there is an intimate relationship between the microcirculationary disorder resulting from hemorheological changes and the onset of sudden deafness. The parameters related to plasma viscosity revealed that there were higher concentrations of plasma fibrinogen and triglyceride in male patients than those in male controls, while the concentrations of plasma cholesterol and triglyceride were higher in female patients than in female controls. These results indicate that the factors which induce the change of plasma viscosity in male patients could not be the same as those in female patients. Thus, in the process of treating sudden deafness, besides the use of common devices such as reducing blood viscosity and improving microcirculation, some other special steps based on the hemorheological parameters derived from different sexes or individuals, should also be considered.

摘要

观察了59例突发性聋患者血液样本的14项血液流变学及相关参数,并与512例健康人血液样本的相应参数进行比较。男性患者全血比黏度(6.50±1.07)、全血还原黏度(12.37±1.80)和血浆黏度(1.84±0.14)显著高于男性对照组(分别为6.05±0.63、11.06±1.04和1.70±0.07)。女性患者全血还原黏度(16.62±3.87)和血浆黏度(1.92±0.13)也显著高于女性对照组(分别为14.40±2.27和1.72±0.06)。上述结果提示血液流变学改变导致的微循环障碍与突发性聋的发病密切相关。与血浆黏度相关的参数显示,男性患者血浆纤维蛋白原和甘油三酯浓度高于男性对照组,而女性患者血浆胆固醇和甘油三酯浓度高于女性对照组。这些结果表明,导致男性患者血浆黏度变化的因素与女性患者不同。因此,在突发性聋的治疗过程中,除了使用降低血液黏度和改善微循环等常规手段外,还应根据不同性别或个体的血液流变学参数考虑一些其他特殊措施。

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