不同中医证型脓毒症血小板和胃泌素的变化  

Variation of Serum PLT and Gastrin in Sepsis with Different TCM Syndromes

作　　者：杨敏春[1] 许雅萍[1] 张召才[1] 蔡国龙[1] 胡才宝[1] 

机构地区：[1]浙江医院,杭州310013

出　　处：《浙江中西医结合杂志》2008年第6期338-339,共2页Zhejiang Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨不同中医证型脓毒症血小板和胃泌素的变化。方法:以脓毒症住院患者为对象,经中医辨证,气分组9例,血分组13例。分别采血,放免检测血清GAS、TNF-α、IL-6、PLT和WBC指标。结果:不同中医证型的脓毒症胃泌素测定值,气分组(5.67±1.89)pg/ml,血分组(65.57±18.19)pg/ml;PLT计数气分组(41.73±13.90)×109/L,血分组(27.73±7.69)×109/L,差异有显著性意义(P<0.05)。各证型的IL-6、TNF-α和WBC差异无统计学意义。结论:不同中医证型脓毒症GAS及PLT水平不同。动态观察GAS及PLT可作为脓毒症辨证的相关参考指标。Objective：To observe the variation of serum PLT and gastrin （GAS） in sepsis with different TCM syndromes. Methods：Patients in sepsis with different TCM syndromes were chosen as Qi-fen group （9 cases） and Xue-fen group （13 cases）. Blood samples were made and the indexes of serum GAS, TNF-α, IL-6, PLT and WBC were measured. Results： The level of GAS in the Qi-fen group and the Xue-fen group was （5.67 ± 1.89） pg/ml and （65.57 ± 18.19） pg/ml respectively. The level of PLT in the Qi-fen group and the Xue-fen group was （41.73 ± 3.90） × 10^9/L and （27.73 ±7.69） × 10^9/L respectively. The difference was significant （P 〈 0.05）. The difference of IL-6, TNF-α and WBC in sepsis with different TCM syndromes had no statistic meaning. Conclusion：The level of GAS and PLT in sepsis with different TCM syndromes is different. Therefore dynamic observation of serum GAS and PLT can be regarded as reference during the syndrome differentiation in sepsis.

关 键 词：脓毒血症 中医辨证 血小板 胃泌素 

分 类 号：R278[医药卫生—中医学]