紫舌、淡白舌与 TXA<sub>2</sub>～PGI<sub>2</sub>平衡调节系统关系的临床观察

作者	单位
东贵荣	黑龙江中医学院附属医院心血管科
贾宝善	黑龙江中医学院附属医院心血管科
徐启营	黑龙江中医学院附属医院心血管科
袁慧萍	黑龙江中医学院附属医院心血管科
徐凯	黑龙江中医学院附属医院心血管科
徐英	黑龙江中医学院附属医院心血管科

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中文摘要:

本组观察了45例正常人和70例不同舌象冠心痛患者血浆 TXB₂、6-keto-PGF₁α值。结果表明,淡白舌组血浆 6-keto-PGF₁α水平比正常组明显降低。紫舌（紫舌与紫斑舌）组血浆 TXB₂水平比正常组和淡白舌组明显增高。血浆 TXB₂/6-keto-PGF₁α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 TXB₂、6-keto-PGF₁α水平也有相应改变。认为 TXA₂-PGI₂平衡失调这一特点,似可作为舌诊的客观指标。

英文摘要:

This paper analysed the relationship between pale tongue,purplish tongue and TXB₂, 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 TXB₂ 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 TXB₂/6-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 TXB₂,6-keto-PGFlα and TXB₂/6-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.

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