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我们对35例慢性肾功能衰竭(CRF)患者进行血液流变学测定,男25例.女10例.年龄20～54岁.所测全血粘度(高、低切变速率)、血浆粘度、血球压积、血沉等均按梁子钧等的方法测定。结果分析:CRF 及男性 CRF 高血压患者与对照组血液流变学测定结果见附表.全血粘度、血沉、血球压积均低于对照组(P<0.01),血浆粘度无差异(P>0.05).男性9例 BUN<21.4mmol/L 与16例 BUN>21.4mmol/L 组比较结果:全血粘度高切、血球压积差异高度显著(P<0.01),全血粘度低切、血沉差异显著(P<0.05),血浆粘度无明显差异(P>0.05).讨论影响血液粘滞性的因素较多.CRF 时血粘度下降是血球压积降低所致,可能与贫血、水钠潴留等有关.血浆粘度未下降,说明 CRF 时血液凝固性仍较高.
In our study, 35 patients with chronic renal failure (CRF) were studied for hemorheology, 25 males and 10 females aged from 20 to 54. The measured values of whole blood viscosity (high and low shear rate), plasma viscosity, Hematocrit, erythrocyte sedimentation rate, etc. are measured by Liangzi Jun and other methods. Results Analysis: The results of hemorheology of CRF and male patients with CRF and control group are as follows: The whole blood viscosity, ESR and hematocrit were lower than the control group (P <0.01) 0.05) .The results of 9 cases of BUN <21.4mmol / L and 16 cases of BUN> 21.4mmol / L showed that there were significant differences in the viscosity of whole blood and hematocrit (P <0.01) (P <0.05), there was no significant difference in plasma viscosity (P> 0.05) .Conclusion There are many factors affecting the blood viscosity.CRF decreased blood viscosity is due to the decrease of hematocrit, which may be related to anemia, Shuinazhuliu , Etc. Plasma viscosity did not decline, indicating that blood coagulation CRF is still high.