本文選題：心絞痛 + 穩(wěn)定型�。� 參考：《中國全科醫(yī)學(xué)》2017年35期

【摘要】：目的初步探討日冕物質(zhì)拋射(CME)引起地磁場變化對穩(wěn)定型心絞痛患者血液流變學(xué)的影響。方法選取2014年因胸悶、胸痛在昆明醫(yī)科大學(xué)第一附屬醫(yī)院心臟內(nèi)科住院的患者162例,根據(jù)冠心病診斷標(biāo)準(zhǔn),將其分為穩(wěn)定型心絞痛組(85例)和無冠心病組(77例)。在未給予任何藥物前提下,檢測患者低剪切力全血黏度(1.00s~(-1))、高剪切力全血黏度(200.00 s-1)和血漿黏度。聯(lián)合云南省天文臺記錄2014年云南的地磁活動情況,地磁指數(shù)Dst≤-30 n T為地磁寧靜,Dst-30 n T為地磁活動。分析兩組地磁寧靜期和地磁活動期血液流變學(xué)指標(biāo)的變化情況,并采用多元線性回歸分析血液流變學(xué)指標(biāo)的影響因素。結(jié)果 2014年共34 d地磁活動,平均年發(fā)生率為9.3%。無冠心病組地磁活動時低剪切力全血黏度和高剪切力全血黏度均高于地磁寧靜時(P0.05);無冠心病組地磁寧靜和地磁活動時血漿黏度比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。穩(wěn)定型心絞痛組地磁活動時低剪切力全血黏度和高剪切力全血黏度高于地磁寧靜時(P0.05);穩(wěn)定型心絞痛組地磁寧靜和地磁活動時血漿黏度比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。多元線性回歸分析結(jié)果顯示,高血脂、地磁情況是低剪切力全血黏度和高剪切力全血黏度的影響因素(P0.05);高血脂是血漿黏度的影響因素(P0.05)。結(jié)論無論生理或病理狀態(tài)下,CME引起地磁場變化可導(dǎo)致機(jī)體血液黏度升高。
[Abstract]:Objective to investigate the effect of magnetic field changes induced by CME) on hemorheology in patients with stable angina pectoris. Methods 162 patients with chest pain in the Department of Cardiology of the first affiliated Hospital of Kunming Medical University in 2014 were selected and divided into stable angina pectoris group (85 cases) and no coronary heart disease group (77 cases) according to the diagnostic criteria of coronary heart disease. The whole blood viscosity of patients with low shear stress and plasma viscosity were measured with low shear stress (1.00s) and high shear stress whole blood viscosity (200.00s-1) without administration of any drugs. The geomagnetic activity of Yunnan Province was recorded by the Yunnan Observatory in 2014. The geomagnetic index Dst 鈮，

本文編號：1985320