“胃不和”患者的气道反应性研究  

Studies on the Airway Responsiveness in the "Disorder of Stomach Qi" in Traditional Chinese Medicine

作　　者：陈宁[1] 刘建博[2] 李慧[1] 李典鸿[1] 黄琳[1] 李毓[1] 

机构地区：[1]广东省第二中医院,广东广州510095 [2]广州中医药大学,广东广州510405

出　　处：《华夏医学》2003年第3期303-304,共2页Acta Medicinae Sinica

摘　　要：目的 :探讨“胃不和”患者的气道反应性。方法 :动态观察受试者的食管 p H和呼气流速峰值 (PEF) ,并作组胺激发试验。结果 :“胃不和”患者的食管 p H在进食前后和夜间低于对照组。当食管 p H<5 .0时 ,1h后 PEF也开始下降 ,两者成正相关 (r=0 .96 )。组胺激发试验阳性率为 4 4 .0 % (2 2 /5 0 ) ,但以轻度和最轻度为主。经中药治疗后 ,有 80 .0 %的患者症状缓解 ,p H和 PEF恢复至对照组水平 ,组胺激发试验阳性率降至 8.0 % (4 /5 0 )。结论 :“胃不和”Objective:To study the bronchial responsiveness in the patients with 'disorder of stomach Qi' in traditional Chinese medicine.Methods:pH in esophagus and peak expiratory flow (PEF) were determined continually in 24h.Histamine inhalation provoking test was used in further investigation for airway function.Results:pH in esophagus in the patients decreased before and after meals,and during the night as compared with that in control group.When pH<5.0,PEF began to diminish in one hour,which showed positive correlation(r=0.96).The positive rate of histamine inhalation provoking test was 44.0%(22/50) of the patients.The symptoms were relieved in 80.0% of the patients after treatment with Chinese herbs,and pH and PEF also returned to the same levels of control group.Conclusion:'Disorder of stomach Qi' may cause airway hyperresponsiveness.

关 键 词：胃不和 气道反应性 PH 食管 呼气流速峰值 

分 类 号：R256.3[医药卫生—中医内科学] R256.1[医药卫生—中医学]