微循环学杂志
微循環學雜誌
미순배학잡지
CHINESE JOURNAL OF MICROCIRCULATION
2015年
3期
27-29
,共3页
宋丹丹%李玉珍%郭渝成%刘秀华
宋丹丹%李玉珍%郭渝成%劉秀華
송단단%리옥진%곽투성%류수화
抗震救灾%战士%球结膜微循环
抗震救災%戰士%毬結膜微循環
항진구재%전사%구결막미순배
Earthquake rescue%Soldier%Bulbar conjunctiva microcirculation
目的：：观察汶川地震救援者任务完成后2年时球结膜微循环变化。方法：随机选取84例汶川抗震救灾男战士为救灾组,以20例同一部队,年龄、性别匹配,未参与抗震救灾的健康男战士为对照组,采用 ZL-104型微循环检测仪和微循环图像分析系统平行检测两组球结膜微血管形态、数目和管径、微循环血流速度、红细胞聚集及含铁血黄素沉着等的变化,并比较其统计学差异。结果：与对照组比较,救灾组微血管管袢数目减少(6.10±1.17条/mm2 vs 5.14±1.00条/mm2,P <0.01)、粗细不均增多(1.10±0.91条/mm2 vs 2.00±0.81条/mm2,P <0.01)、细静脉和细动脉管径变细(25.20±3.05μm vs 23.39±3.05μm,9.50±1.15μm vs 8.33±1.43μm,P <0.05)；球结膜微血管囊状扩张明显增多(5.00% vs 39.29%,P <0.01),微血管内血流速度减慢(536.60±51.28μm/s vs 500.23±55.05μm/s,P <0.01),红细胞聚集明显(20.00% vs 45.24%,P <0.05)。而微血管瘤、缺血区和含铁血黄素沉着救灾组虽多于对照组,但差异无统计学意义(P >0.05)。结论：抗震救援战士完成任务后两年仍存在不同程度微循环损害。
目的：：觀察汶川地震救援者任務完成後2年時毬結膜微循環變化。方法：隨機選取84例汶川抗震救災男戰士為救災組,以20例同一部隊,年齡、性彆匹配,未參與抗震救災的健康男戰士為對照組,採用 ZL-104型微循環檢測儀和微循環圖像分析繫統平行檢測兩組毬結膜微血管形態、數目和管徑、微循環血流速度、紅細胞聚集及含鐵血黃素沉著等的變化,併比較其統計學差異。結果：與對照組比較,救災組微血管管袢數目減少(6.10±1.17條/mm2 vs 5.14±1.00條/mm2,P <0.01)、粗細不均增多(1.10±0.91條/mm2 vs 2.00±0.81條/mm2,P <0.01)、細靜脈和細動脈管徑變細(25.20±3.05μm vs 23.39±3.05μm,9.50±1.15μm vs 8.33±1.43μm,P <0.05)；毬結膜微血管囊狀擴張明顯增多(5.00% vs 39.29%,P <0.01),微血管內血流速度減慢(536.60±51.28μm/s vs 500.23±55.05μm/s,P <0.01),紅細胞聚集明顯(20.00% vs 45.24%,P <0.05)。而微血管瘤、缺血區和含鐵血黃素沉著救災組雖多于對照組,但差異無統計學意義(P >0.05)。結論：抗震救援戰士完成任務後兩年仍存在不同程度微循環損害。
목적：：관찰문천지진구원자임무완성후2년시구결막미순배변화。방법：수궤선취84례문천항진구재남전사위구재조,이20례동일부대,년령、성별필배,미삼여항진구재적건강남전사위대조조,채용 ZL-104형미순배검측의화미순배도상분석계통평행검측량조구결막미혈관형태、수목화관경、미순배혈류속도、홍세포취집급함철혈황소침착등적변화,병비교기통계학차이。결과：여대조조비교,구재조미혈관관번수목감소(6.10±1.17조/mm2 vs 5.14±1.00조/mm2,P <0.01)、조세불균증다(1.10±0.91조/mm2 vs 2.00±0.81조/mm2,P <0.01)、세정맥화세동맥관경변세(25.20±3.05μm vs 23.39±3.05μm,9.50±1.15μm vs 8.33±1.43μm,P <0.05)；구결막미혈관낭상확장명현증다(5.00% vs 39.29%,P <0.01),미혈관내혈류속도감만(536.60±51.28μm/s vs 500.23±55.05μm/s,P <0.01),홍세포취집명현(20.00% vs 45.24%,P <0.05)。이미혈관류、결혈구화함철혈황소침착구재조수다우대조조,단차이무통계학의의(P >0.05)。결론：항진구원전사완성임무후량년잉존재불동정도미순배손해。
Objective:To observe the changes of bulbar conjunctiva microcirculation in rescuers 2 years after Wenchuan earthquake.Method:A total of 84 male rescuers in Wenchuan earthquake were collected and assessed for bulbar conjunctiva microcirculation with microcirculation detector (type ZL104)and microcirculation image analysis system.Twenty healthy volunteers from the same troop matched for age and sex,were set as the control group.Re-sults:Compared with the control group,the number of bulbar conjunctiva capillaries decreased (6.10±1.1 7/mm vs 5.14±1.00/mm,P <0.01);the number of capillaries with uneven thickness increased (1.10±0.91/mm vs 2.00± 0.81/mm,P <0.01);pipe diameter of venule and arteriole became thinner (25.20 ± 3.05μm vs 23.39 ± 3.05μm, P <0.05;9.50±1.1 5μm vs 8.33 ± 1.43μm,P <0.01,respectively);the percentage of cystic dilation capillaries was higher (5% vs.39.3%,P <0.01 ).The blood flow velocity of capillaries in rescuers group was slower than that of the control group (536.60±5 1.28 μm/s vs.500.23±55.05 μm/s,P <0.01).The erythrocyte aggregation was severe in the rescuers group as compared with the control group (P < 0.05 ).The prevalence of microaneu-rysms,ischemic region and hemosiderosis was higher in the rescuers than those in the control group,while there was no statistical significance(P >0.05).Conclusion:The morphology and blood flow state of bulbar conjunctiva mi-crocirculation on rescuers 2 years after Wenchuan earthquake presented different changes.
