摘要
本文通过临床症状的观察及唾液淀粉酶活性、Ｄ－木糖排泄率的检测，对消化系统及非消化系统进行多系统脾虚证的同步观察，以了解脾虚证某些检测指标的特异性及不同系统脾虚证的共同特点。本研究观察了正常对照１８例４３个系统１０个病种共４３例病例，分为脾虚证组、肝胄不和证组、痰热证组及正常人组，对其中４２例患者作了前后对照观察，临床痊愈占７１．４５％，显效占１９．０５％，好转占７．１４％，无效占２．３８％。各组分别同步观察淀粉酶活性及Ｄ－木糖排泄率，结果表明脾虚患者在安静状态下酶活性较正常人显著为高（Ｐ＜０．０５），酶活性比值小于１；其Ｄ－木糖排泄率虽较正常及其他对照组为低，但无显著性差异（Ｐ＞０．０５）。脾虚证多系统间各指标的两两比较表明，唾液淀粉酶活性及Ｄ－木糖排泄率均无显著性差异（Ｐ＞０．０５）。
Forty-three patients with 10 different kinds of diseases in 3 systemswere classified into 3 groups:spleen-asthenia,incordination of liver andstomach,phlegm-heat syndrome,and 18 healty volunteers as control.The result of treatment on 42 patients showed that 71.45% were cured,19.05% markedly effective,7.14% improved and 2.38% ineffectlve. The result of the experimental study showed that the salivin activity in spleen-asthenia group was significantly higher than that of the healthy volunteers in quiet state(p<0.05),the salivin activity ratio being less than 1,and the D-xylose excretion rate was lower than other groups, but there was no significant difference (p>0.05). The salivin activities and D-xylise excretion rates of spleen-asthenia syndrome from the diseases of different systems had no significant difference(p>0.05).
关键词
脾虚
诊断
唾液
淀粉酶类
木糖
尿
SPLEEN ASTHENIA/diag.SALIVA/anal.AMYLASES/anal.XYLOSE/urine.
