慢性支气管炎肾阳虚、肾阴虚患者甲状腺轴功能的对比研究

作者	单位
石刚	黑龙江中医学院附属医院同位素科
袁慧萍	黑龙江中医学院附属医院同位素科
徐英	黑龙江中医学院附属医院同位素科
王刚	黑龙江中医学院附属医院呼吸科
潘抗美	黑龙江中医学院附属医院呼吸科

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中文摘要:

本文研究结果初步表明.慢性支气管炎（慢支）肾阳虚（包括单纯肾阳虚）患者血清总 T₃、总 T₄浓度减低,而 TSH 浓度轻度升高。提示慢支肾阳虚（包括单纯肾阳虚）患者甲状腺功能处于低下状态,是肾阳虚证的病变基础之一。血清总 T₃、总 T₄及 TSH 浓度等变化可作为肾阳虚证的一项客观指标。

英文摘要:

Concentrations of T₄,T₃,TSH in serum and T₃ RUR were examined to study the functioning of thyroid axis of chronic bronchitis patients with deficiency of Yang or Yin of the kidney and patients with deficiency of kidney Yang or Yin yet without obvious symptoms of chronic bronchitis.We found that concentrations of T₃,T₄ in serum of chronic bronchitis patients with deficiency of kidney Yang and patients simply with deficiency of kidney Yang were lower,and the concentration of TSH in serum slightly increased.Our results suggest that the decline of thyroid function is a basic factor of deficiency of kidney Yang and the total concentration of T₄,T₃ and the concentration of TSH may serve as an indicator of deficiency of kidney Yang. Although the total concentration of T₄ in serum in chronic bronchitis patients with deficiency of kidney Yin is obviously higher than that of the patients with deficiency of kidney Yang（P<0.01）,the value of T₄ in most of the cases was in the upper range of normal control group.The total concentration of T₃ showed no significant difference between group investigated and the control group（P>0.05）.We have not got enough evidence to demonstrate that deficiency of kidney Yin is thyroidism.Deficiency of kidney Yang and Yin in patients with chronic bronchitis and in the patients without symptoms of the disease is one and the same syndrome appearing separately at different stages of development of the same disease.It indicates that"syndrome"in TCM is not"disease"in western medicine. Syndrome is pathological phenomenon appearing at certain stage of a disease.This study confirms the TCM theory of the importance of differentiation of symptom complexes while treating a disease.

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