CAJ | 학술논문

目的：探讨老年脑肿瘤患者开颅术围术期的血液流变学改变特点及临床意义。方法30例老年脑肿瘤患者术前1d及术后1、3、7d均进行血液流变学指标检测，包括红细胞聚集指数及血沉方程K值、血浆黏度、全血黏度（低切、中切及高切）、全血还原黏度（低切、中切及高切）。结果开颅术前1d、术后1、3、7d在红细胞聚集指数、血浆黏度及血沉方程K值、全血黏度（低切、中切及高切）、全血还原黏度（低切、中切及高切）呈先升高后降低的趋势，其中术后1d达到峰值；术后3d与术后1 d比较差异有统计学意义（P＜0.05）。结论老年脑肿瘤患者开颅术围术期血液流变学指标的变化特点为先升后降，常于术后1d达到峰值。
목적：탐토노년뇌종류환자개로술위술기적혈액류변학개변특점급림상의의。방법30례노년뇌종류환자술전1d급술후1、3、7d균진행혈액류변학지표검측，포괄홍세포취집지수급혈침방정K치、혈장점도、전혈점도（저절、중절급고절）、전혈환원점도（저절、중절급고절）。결과개로술전1d、술후1、3、7d재홍세포취집지수、혈장점도급혈침방정K치、전혈점도（저절、중절급고절）、전혈환원점도（저절、중절급고절）정선승고후강저적추세，기중술후1d체도봉치；술후3d여술후1 d비교차이유통계학의의（P＜0.05）。결론노년뇌종류환자개로술위술기혈액류변학지표적변화특점위선승후강，상우술후1d체도봉치。
Objective To investigate the changes of perioperative blood rheology of elderly patients with brain tumors cra‐niotomy.Methods The blood rheology indexes of 30 elderly patients with brain tumors 1d before surgery and 1d ,3d and 7d af‐ter surgery were detected. These indexes were erythrocyte aggregation index and the K value of ESR ,plasma viscosity ,whole blood viscosity (low cut ,middle cut and high cut) ,whole blood reduced viscosity (low cut ,middle cut and high‐cut).Results The above indexes showed a decreasing trend after the first rise ,and reached peak at 1d after post‐operation. There was a sta‐tistical difference between 3d after surgery and 1 d after surgery(P<0.05).Conclusion The changes characteristics of periop‐erative blood rheology of elderly patients with brain tumors craniotomy are a decreasing trend after the first rise ,and reach peak at 1d after post‐operation.