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邝安堃,龚兰生,丁霆,陈家伦,许曼音,丁怀翌,汪关煜,过鑫昌,蔡宜生,罗素珍,陈梦月,王文娟,蔡厚明,江宏铨.急性心肌梗塞的中医辨证及其与血浆环核苷酸、性激素的关系[J].中国中西医结合杂志,1983,(3):149-152,130
急性心肌梗塞的中医辨证及其与血浆环核苷酸、性激素的关系
A Study of Relationships between Differentiation of Symptom Complexes of AMI and Plasma Cyclic Adenosine and Sex Hormone levels
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DOI:
中文关键词:  急性心肌梗塞  中医辨证  性激素  血浆环核苷酸  不同阶段  演变规律  血浆雌二醇  冠心病  比值  患者
英文关键词:
基金项目:
作者单位
邝安堃 上海第二医学院附属瑞金医院内科 
龚兰生 上海市内分泌研究所 
丁霆 上海第二医学院附属瑞金医院内科 
陈家伦 上海第二医学院附属瑞金医院内科 
许曼音 上海第二医学院附属瑞金医院内科 
丁怀翌 上海市内分泌研究所 
汪关煜 上海市内分泌研究所 
过鑫昌 上海市内分泌研究所 
蔡宜生 上海第二医学院附属瑞金医院内科 
罗素珍 上海第二医学院附属瑞金医院内科 
陈梦月 上海第二医学院附属瑞金医院内科 
王文娟 上海第二医学院附属瑞金医院内科 
蔡厚明 上海第二医学院附属瑞金医院内科 
江宏铨 上海第二医学院附属瑞金医院内科 
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中文摘要:
      我们对40例住院的急性心肌梗塞(AMI)患者从入院起在不同阶段进行了中医辨证,并多次测定血浆环核苷酸与性激素,以探讨 AMI患者中医辨证的演变规律及其与血浆环磷酸腺苷(cAMP)、环磷酸鸟苷(cGMP)、雌二醇(E2)、睾酮(T)等之间的关系,现将初步结果报道如下。
英文摘要:
      In this paper differentiation of sympton complexes of 40 cases of acute myocardial infarction(AMI)is presented and their relationships with plasma cyclic adenosine and sex hormone levels are analysed.The chief characteristic of AMI is that the fundamental aspect is insufficient and the acute aspect is excessive.When Yin and Yang are taken as a basic principle,these patients mainly belong to"Yang Xu"(including"Qi Xu");when organs are considered,it is mainly heart and kidney that are involved.The measurement of cyclic adenosine has once again revealed that the increase of plasma cyclic gnanosine monophosphate(cGMP)level in AMI was more significant and persisted longer than that of cyclic adenosine monophosphate(cAMP).Therefore,the ratio of cAMP/cGMP was kept at a lower level and it gradually became normal as the patient has turned better.This rule is consistent with the evolution of"Yang Xu"in these patients. The measurement of sex hormone has revealed that the average plasma testosterone level of AMI patients decreased significantly,whereas the ratio of estradiol and testosterone(E2/T)increased.It has also been found that the decrease of cAMP/cGMP ratio occurred in patients with the sympton of"Yang Xu",whereas the increase of E2/T ratio occurred in patients with the symptom of"deficiency in kidney".
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