脾气虚证患者血清甘胆酸及胃液sIgA的变化  

The changes of serum glycocholate and slgA in gastric juice in patients with spleen - gi deficiency

作　　者：李庆明[1] 郭秀筠[1] 黄启辉[1] 陈跃光 

机构地区：[1]广州中山医科大学孙逸仙纪念医院,510120

出　　处：《世界华人消化杂志》1994年第4期238-243,201,共3页World Chinese Journal of Digestology

摘　　要：目的:了解脾气虚证患者血清甘胆酸及胃液sIgA要化,并分析其意义。方法:胃镜确诊的慢性胃病50例,按中医辨证标准分型为脾气虚证30例和肝胃不和证20例,测定上述指标。结果:脾气虚证胃液sIgA(334.4±288.3mg/L)明显高于肝胃不和证(118.1±140.1mg/L)及正常人(25.4±3.8mg/L,P<0.01)。而肝胃不和证血清甘胆酸(3.15±3.01mg/L)则高于脾气虚证(2.00±2.84mg/L)及正常人(0.23±0.17mg/L,P<0.01)。结论:脾气虚证胃内局部免疫功能紊乱。肝胃不和证存在胆汁排泌不良或肠肝循环瘀滞。AIM To observe the changes of serum glycocholate and sIgA in gastric juice in patients with spleen-gi deficiency andanalyze their values.METHODS Endoscopically proven 50 chronic gastropathy patients were divided into spleen-energy deficiency) n=30)andliver-spleen incoordination)n=20)groups,then their serum glycocholate and sIgA in gastric juice were measured.RESULTS The sIgA in gastric juice in spleen-gi deficiency)334.4 ±288.3 fig/ml)was significantly higher than that inliver-spleen incoordination)118.1±140.1μg/ml)and in healthy groups)25.4 ±3.8μg/ml P<0.01).But serumglycocholate level in spleen-energy deficiency)2.00 ±3.01 mg/L)and in healthy group)0.23±0:51 mg/L)was lower thanthat in liver-spleen incoordination)3.1513.01 mg/L,P<0.01).CONCLUTION Our results suggest that the gastric mucosal immune function in spleen-gi deficiency is altered.Some statsisin intestine-liver circulation occurs in patients with liver-spleen incoordination.

关 键 词：脾气虚证 肝胃不和证 血清甘胆酸 胃液sIgA 

分 类 号：R256.3[医药卫生—中医内科学]