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陈安忠,赵社正,黄少檀,程莉,叶友联.支气管哮喘患者中医辨证分型与尿四种微量蛋白的关系[J].,1998,(9):537-539
支气管哮喘患者中医辨证分型与尿四种微量蛋白的关系
Relationship between Syndrome Type in TCM and Four Trace Urinary Proteins in Patients with Bronchial Asthma
  
DOI:
中文关键词:  支气管哮喘  中医证型  尿白蛋白  尿免疫球蛋白G  尿β2微球蛋白  尿TammHorsfall蛋白
英文关键词:bronchial asthma  Syndrome Type in TCM  urinary albumin  urinary immunoglobulin G  urinary β 2 microglobulin  urinary Tamm Horsfall protein
基金项目:
Author NameAffiliation
陈安忠 Chen Anzhong, Zhao Shezheng, Huang Shaotan, et al PLA 458th Hospital, Guangzhou (510602 
赵社正 Chen Anzhong, Zhao Shezheng, Huang Shaotan, et al PLA 458th Hospital, Guangzhou (510602 
黄少檀 Chen Anzhong, Zhao Shezheng, Huang Shaotan, et al PLA 458th Hospital, Guangzhou (510602 
程莉 Chen Anzhong, Zhao Shezheng, Huang Shaotan, et al PLA 458th Hospital, Guangzhou (510602 
叶友联 Chen Anzhong, Zhao Shezheng, Huang Shaotan, et al PLA 458th Hospital, Guangzhou (510602 
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中文摘要:
      目的 :探讨哮喘患者中医不同证型与尿中 4种微量蛋白的关系。方法 :用放射免疫法测定 2 17例哮喘患者尿中 4种微量蛋白 ,并与 6 6名健康人组对比。结果 :哮喘患者尿白蛋白 (UAlb)、尿免疫球蛋白G (UIgG)、尿 β2 微球蛋白 (Uβ2 m)、尿Tamm Horsfall蛋白(UTHP)呈不同程度增高 ,并按中医肺虚型、肺脾两虚型和肺肾两虚型顺序呈渐增趋势。并证实尿 4种微量蛋白测定对肾功能受损判断较血BUN、SCr灵敏。结论 :哮喘患者中医证型有其客观的物质基础 ,即其存在不同程度的肾小球滤过Alb、IgG功能受损 ,肾小管重吸收β2 m功能受损及肾小管合成排泌THP功能受损
英文摘要:
      Objective: To explore the possible relationship between Syndrome Type in TCM and the 4 trace urinary proteins in patients with bronchial asthma. Methods: The 4 kinds of trace urinary proteins in 217 patients with asthma were measured by radioimmunoassay, and that in 66 normal subjects were compared. Results: The results showed that there were increments of urinary albumin, urinary IgG, urinary β 2 microglobulin and urinary Tamm Horsfall protein in patients with asthma; and the gradual increase tended to be accompanied by the continuous aggravation of patient’s condition on TCM Syndrome Type. Furthermore, these datas proved that the 4 trace urinary proteins might be the most sensitive indicators for detecting impaired renal functions than serum blood urea nitrogen and creatinine. Conclusions: There were the objective material foundations on TCM Syndrome Type in asthmatics, which consisted of renal glomerular dysfunctions to filter out albumin and IgG, renal tubular dysfunction to reabsorb β 2 microglobulin, and to synthesize and excrete Tamm Horsfall protein.
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