血压、血脂、血糖、同型半胱氨酸及超敏C反应蛋白水平与脑梗死发病危险性的关系

目的:探讨血压、血脂、血糖、糖化血红蛋白、同型半胱氨酸(HCY)和超敏C反应蛋白(hs-CRP)与脑梗死发病危险性的相关性,为及时防止脑梗死的发病及早期诊断脑梗死提供理论依据。方法:采用回顾性病例对照研究,用全自动生化分析仪器检测各项生化指标,并运用SPSS 20.0软件包对256例脑梗死患者和216例健康对照者的血生化指标进行统计分析。同时,将脑梗死组分为三组:单纯脑梗死组、合并高血压组、合并糖尿病组,分别与正常对照组进行血脂水平的分析比较。结果:血压、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇酯(HDL-C)、同型半胱氨酸(HCY)、血糖、hs-CRP水平和总胆固醇/高密度脂蛋白胆固醇(TC/HDL-C)比值在病例组和对照组间有显著性差异(P0.05)。同时,在三组不同的病例组中血脂(TC、TG、LDL-C、TC/HDL-C)水平和HCY水平明显高于正常对照组,而HDL-C水平则明显低于对照组。(P0.05)。结论:高血压、高血糖、HCY、hs-CRP水平增高及血脂异常均与脑梗死发病危险性相关,联合检测上述指标对预防及治疗脑梗死均有重要意义。     

Blood,transmitters and neuropeptides

Abstract

Total T lymphocytes and their subsets CD3⁺8⁺, CD3M⁺, CD4⁺45R⁺, respectively TCRab⁺ and TCRgd⁺ cells as well as CD19⁺B cells exhibited significantly circadian variations in venous blood from healthy men with peak times between 23.00 to 24.00 h, respectively around 21.00 h. Natural killer (NK) cells peaked between 11.00 and 12.00 h insignificantly. A similar inverse relationship was found between T (B) cells and plasma levels of ACTH, cortisol and human growth hormone, whereas NK cells and prolactin levels may be related in another way.     

Blood Flow, Slip, and Viscometry

The viscosity of blood, measured by the usual viscometers in which slip is not considered, is found to be flow dependent, varying markedly with shear rate, pressure gradient, and vessel diameter in the lower ranges of these factors. The study postulates, on grounds thought reasonable, that slip may be present in blood flow, as a function of the nature of the wall surfaces, shear stress at the wall, and relative cell volume (RCV) adjacent to the wall. It presumes that blood possesses a specific, flow-independent viscosity, and determines theoretically the viscosity indications of viscometers if blood slipped in the instruments. The study shows that if the slip function is of a certain plausible form, these viscosity indications would exhibit a flow dependence of much the same pattern as the actual indications supplied by the usual viscometers. The slip postulate permits, therefore, an interpretation of the “anomalous” flow behavior of blood, dispensing with the prevailing assumption of an ad hoc variability of its viscosity with flow factors. To the extent that viscometric data for blood may be representative of other non-newtonian fluids, the slip postulate may be applicable to these fluids.