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目的探讨视网膜静脉阻塞患者各年龄段的血液流变学的变化。方法对不同年龄段的视网膜静脉阻塞患者和正常对照组的血液流变学进行检测。结果20~39岁年龄组的视网膜静脉阻塞患者的低切粘度、血沉、K值与对照组比较有显著差异(P<0.05);40~59岁年龄组的血浆粘度、红细胞聚集指数与对照组比较有显著差异(P<0.05),而其余7项指标均与对照组有极显著差异;60岁以上患者的低切、血浆粘度、还原粘度、血沉等与对照组比较有显著差异(P<0.05),高切、K值与对照组相比较有极显著差异(P<0.001)。结论 视网膜静脉阻塞患者在低年龄组血液流变的值有一种以上的血液粘度因素的上升及其变化可作为该病发展的量度,随年龄的增长,可有多项指标出现异常,并可指导临床诊断与治疗。
Objective To investigate the changes of hemorheology in all age groups of patients with retinal vein occlusion. Methods Hemorrheology was examined in patients with retinal vein occlusion and normal controls of different ages. Results Low-cutaneous viscosity, erythrocyte sedimentation rate and K value in patients with retinal vein occlusion in 20-39 age group were significantly different from those in control group (P <0.05). The plasma viscosity and erythrocyte aggregation index in 40-59 age group were significantly lower than those in control group (P <0.05), while the other seven indicators were significantly different from the control group; low-cut, plasma viscosity, reducing viscosity and erythrocyte sedimentation rate in patients over 60 years old were significantly different from the control group (P < 0.05), high-cut, K-value compared with the control group were significantly different (P <0.001). Conclusions The value of hemorrheology in patients with retinal vein occlusion in the lower age group has more than one rise in blood viscosity and its change as a measure of the development of the disease. With age, there may be abnormalities in many indicators and guidance Clinical diagnosis and treatment.