紫舌、淡白舌与 TXA_2～PGI_2平衡调节系统关系的临床观察  

Clinical Observation of Relationship Between Pale Tongue,Purplish Tongue and TXA_2-PGI_2 Regulation System

作　　者：东贵荣[1] 贾宝善 徐启营 袁慧萍[1] 徐凯[1] 徐英 

机构地区：[1]黑龙江中医学院附属医院心血管科,哈尔滨150040

出　　处：《中西医结合杂志》1990年第4期219-220,共2页

摘　　要：本组观察了45例正常人和70例不同舌象冠心痛患者血浆 TXB_2、6-keto-PGF_1α值。结果表明,淡白舌组血浆 6-keto-PGF_1α水平比正常组明显降低。紫舌(紫舌与紫斑舌)组血浆 TXB_2水平比正常组和淡白舌组明显增高。血浆 TXB_2/6-keto-PGF_1α比值,正常组与淡白舌组和紫舌组比较,以及淡白舌组与紫舌组比较均有显著性差异。随着淡白舌—紫舌的演变过程,血浆 TXB_2、6-keto-PGF_1α水平也有相应改变。认为 TXA_2-PGI_2平衡失调这一特点,似可作为舌诊的客观指标。This paper analysed the relationship between pale tongue,purplish tongue and TXB_2, 6-keto-PGFlα levels in plasma of 70 cases with coronary heart disease(CHD)and 45 normal subjects. The result showed the following characteristics:The pale tongue group(217.76±30.5 pg/ml)showed no significant difference in TXB_2 level compared with the normal group(164.49±10.85 pg/ml,P>0. 05),while both showed significant difference compared with the purplish tongue group(360.1±31.3 pg/ml)and that with purple spots(485.07±106.1 pg/ml,P<0.01).The pale tongue group(179.29±9. 08pg/ml)showed a significant difference in 6-keto-PGFlα level compared with the normal group (244±19.31pg/ml,P<0.01),but it showed no significant difference compared with the purplish tongue group(185.08±17.07pg/ml)and that with purple spots(229.3±33.2pg/ml,P>0.05).The comparison between the groups of purplish tongue and that with purple spots and the normal group showed no significant difference(P>0.05).The pale tongue group(1.33±0.18)showed a marked difference in TXB_2/6-keto-PGFlα ratio compared with the normal group(0.72±0.04,P<0.01),the purplish tongue group(2.12±0.22,P<0.01)and that with purple spots(2.25±0.55,P<0.05).The purplish tongue group and that with purple spots showed significant difference compared with the normal group(P<0.01).Finally,the comparison between the purplish tongue group and that with purple spots in TXB_2,6-keto-PGFlα and TXB_2/6-keto-PGFlα ratio showed no significant difference (P>0.05).These characteristics may be used for the diagnosis of tongue and the differentiation of Qi (气)and Blood.

关 键 词：紫舌 淡白舌 TXA_2 PGl_2 

分 类 号：R241.25[医药卫生—中医诊断学]