肝火上炎证实验性诊断参考指标研究  

Study on Reference Laboratory Diagnostic Index of Liver-Fire Ascending Syndrome

作　　者：黎杏群[1] 张海男[1] 李学文[1] 张翔[1] 陈昌华[1] 殷全荣[1] 

机构地区：[1]湖南医科大学中西医结合研究所,长沙410008

出　　处：《中国中西医结合杂志》2001年第3期190-192,共3页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金资助项目! (No .39330 2 4 0 )

摘　　要：目的 :探索辨证与辨病在临床诊断上的结合点。方法 :用肝火上炎实验性诊断参考指标的研究 ,测定肝火上炎证患者 ( 59例 ) ,用异病同证、同病异证的相关证型有关指标测定值比较 ,并结合临床分型、分期 ,得出以下结果。结果 :肝火上炎证患者前列腺素F2α(PGF2α)、精氨酸加压素 (AVP)两项指标测定值均高于肝肾阴虚证和肝阳上亢证 (P <0 0 5) ;临床分型、分期 :肝火上炎证单纯疱疹病毒性角膜炎 (简称角膜炎 )以深基质层型多见 ( 70 % ) ,高血压病以高血压Ⅱ期多见 ( 10 0 % )。结论 :角膜炎和高血压病患者PGF2α、AVP可作为肝火上炎证实验性诊断参考指标。Objective: To explore the binding point of Syndrome Differentiation of TCM and disease differentiation by western medicine. Methods: Selected laboratory diagnostic indexes were tested in 59 cases of Liver Fire Ascending Syndrome (LFAS). Referring to clinical typing and staging, the data obtained were analysed by same syndrome with different diseases and same disease with different syndrome as well as the values determined in related syndrome types were compared. Results: The levels of prostaglandin F 2α (PGF 2α ) and arginine vasopressin (AVP) in patients of LFAS were higher than those in patients with Liver Kidney Yin Deficiency Syndrome and Liver Yang Hyperactivity Syndrome. As for linking between Syndrome type and stage of disease, most cases (70%) of herpes simplex viral keratitis of LFAS were deep matrix layer type; and 100% hypertension patients with LFAS belonged to stage Ⅱ. Conclusion: PGF 2α and AVP could be used as the reference laboratory diagnostic indexes of LFAS.

关 键 词：肝火上炎 实验性诊断 前列腺素F2Α 精氨酸加压素 

分 类 号：R256.4[医药卫生—中医内科学]