【摘要】 目的：探讨血液粘度与有效血容量之间的关系，为扩容治疗提供理论依据。方法：观察组分：高粘血症组（２０３例）、低粘血症组（５２例）、有效血容量增高组（４０例）和有效血容量降低组（２８例）；对照组分正常血液粘度对照组（９８例）和正常有效血容量对照组（５０例）。使用ＸＧⅡ型心血管功能诊断仪及ＳＡＳ微机统计软件，将６组受检者全血粘度和有效血容量较正常血容量〔体重ｋｇ×（７％～８％）〕增高或降低的值分别对应输入微机作相关性分析。结果：有效血容量较正常血容量增高或降低的值与全血粘度值呈负相关关系（ｒ＝－０．５９０８），有效血容量测得值与全血粘度测得值无相关性（ｒ＝－０．０７２８），且全血粘度增高组出现有效血容量降低者高于正常血液粘度对照组（Ｐ＜０．００１）；全血粘度降低组出现有效血容量增高者高于正常血液粘度对照组（Ｐ＜０．００１）；有效血容量增高组出现低粘血症者高于正常有效血容量对照组（Ｐ＜０．０５）；有效血容量降低组出现高粘血症者大于正常有效血容量对照组（Ｐ＜０．０１）。结论：血液粘度增高易出现有效血容量降低，血液粘度降低易出现有效血容量增高，反之亦然。有效血容量较正常血容量增高或降低的值与全血粘度呈负相关关系（ｒ＝－?更多还原

【Abstract】 Objective:To explore the relationship of blood viscosity with effective blood volume in order to provide the scientific theoretic basis for treatment with dilation of blood volume.Methods:The observation group was divided into high viscosity group ( n =203),low viscosity group ( n =52),hypervolemia group ( n =40) and hypovolemia group ( n =28);the control group was divided into normal viscosity group ( n =98) and normal effective blood volume group ( n =50).The increase or decrease value which blood viscosity and effective blood volume of examinated subjects in above 6 groups than normal blood volume body weight(kg)×(7%-8%) ,then,those value were imported into microcomputer respectively for analysis using type XGⅡ vascular function diagnose meter and SAS microcomputer software.Results:The higher or lower value which effective blood volume than normal blood volume were presented negative correlation with total blood viscosity ( r = -0 590 8 );there was no correlation between the detected effective blood volume value and detected total blood viscosity ( r = -0 072 8 ).Additionally,hypovolemia in high viscosity group was much than that in normal viscosity group ( P <0 001);hypervolemia in low viscosity group was much than that in normal viscosity group (P <0 001);low viscosity in hypervolemia group was much than that in normal effective blood volume group ( P <0 05);high blood viscosity in hypovolemia group was much than that in normal effective blood volume group ( P <0 01).Conclusions:The high blood viscosity present often hypovolemia;low blood viscosity present often hypervolemia.There are negative correlation of higher or lower value which effective blood volume than normal blood volume with total blood viscosity ( r = -0 590 8 ),it has a positive feedback action.更多还原