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孙弼纲,刘健,鄢顺琴,田长经,沈鹰,戴小华.脾虚证分度定量诊断研究[J].中国中西医结合杂志,1994,(3):135-138,131
脾虚证分度定量诊断研究
Study On Graduated Quantitative Diagnosis of Spleen Deficiency Syndrome
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DOI:
中文关键词:  脾虚证  定量诊断  木糖  吸收
英文关键词:Spleen Deficiency Syndrome  quantitative diagnosis  D-xylose absorpotivity
基金项目:
作者单位
孙弼纲 安徽中医学院附属医院 
刘健 安徽中医学院附属医院 
鄢顺琴 安徽中医学院附属医院 
田长经 河南平顶山市中医院 
沈鹰 广州军区总医院中医科 
戴小华 安徽中医学院附属医院 
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中文摘要:
      通过对90例多系统多病种脾虚患者的研究,采用多指标探索脾虚证的定量诊断方法。发现随看木糖吸收率的逐步降低,脾虚证各种症状的出现率不断升高;除周围血管阻力渐上升外,唾液淀粉酶活性、血液流变学检测、心功能、血红细胞、血红蛋白及淋巴细胞转化率等指标值均逐渐下降,并与木糖吸收率呈正相关,有显著性意义。按照上述规律,将脾虚证分为Ⅰ、Ⅱ、Ⅲ3度,并列出各度的症状出现率及检测结果,初步提出脾虚证分度定量诊断法。
英文摘要:
      Cases with Spleen Deficiency Syndrome(SDS)in various diseases of different body system were studied to obtain a quantitative measurement of the syndrome for more accurate diagnosis.Rates of symptom manifestation of SDS,absorptivity of D-xylose,activity of salivary amylase,hemoglobin level,RBC count,plasma albumin,cardiac function as well as some parameters of hemorheology and lymphocyte transformation rate were observed.The results clearly showed that the D-xylose absorptivity was much lower in patients with higher appearance rate of SDS symptoms,which was dose-dependent.Along with the lowering of D-xylose absorptivity,the values of abovementioned parameters dropped were positively correlated to it.On the contrary,the peripheral vascular resistence elevated as D-xylose absorptivity dropped.The author divided the SDS into three stages as a graduated quantitative diagnosis based on the drop of D-xylose absorptivity,the increase of SDS symptom and other changes of laboratory findings.
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