腰椎间盘突出症血液流变学改变与疗效关系临床研究.pdfVIP

中 文 摘 要 通过对60例疡血型腰推间盘突出症患者和63例健康成年人 的血液流变学九项指标检测，结果显示，60例患者的红细胞比 积、全血比(高切、中切及低切)粘度、血沉方程K值、体外 血栓长度及湿重均高于健康者组并呈显著性差异(P0.05或 P0.01)。把60例患者随机分为中药组、手法组、对照组3组， 分别采用不同疗法治疗 4周后发现，各组的血液流变学指标均 低于治疗前，其中中药组和手法组血流变指标变化呈显著性 (P0.05或P0.01)，与对照组比较，差异显著，其疗效也优于 对照组((P0.01)。研究结果显示:癖血型腰稚间盘突出症血液流 变性改变突出 疥“”，血液呈粘稠倾向;疥血型腰稚间盘突出症 血液流变学改变可能与疗效相关，临床上注意血液稀释状态有 助于提高疗效。 关键词:腰稚间盘突出症，血液流变学，活1-4to,临床疗效。 ABSTRACT The result ofdetecting 9 parametersofhemorrheology of 60 cases ofLIDP(ProtrusionoftheLumbarinterverteWaldisc) and 63 healthy showed that HCT ，whole blood viscosiyt(high，middle low shear rate)，ESR-长，the length and weight of thrombosis ，whole hemorrheological significantl patient 丫丫.higher than those o f healthy or P0.01).60 cas es o f were 2 trialgroups ai记 controlgroup different methods.4 weeks later，thehemorrheologicalparametersof2 trialgroup cases lowered significantly(P0.05.orP0.01)than thatof contro group casesand had good result，butthe control group cases had no good result(P0.01).It indicated that the changes of hemorrheological parameters always accompanies yuxue that there be relation effect may and those parameters can improve blood UtiC to tnst syndromeLIDP. aga yuuxue Words L:IDP(Protrusion ofthe Lumbar intervert4al disc),hemorrheologyhuoxuehuayu therapy,clinical therapeu