摘要
目的：研究舌诊在诊治老年脑血管病中的作用。方法：对１２２例脑梗塞和５４例脑出血老年患者的各期舌象进行观察，并用放射免疫法检测了患者血浆中血小板α颗粒膜蛋白１４０（ＧＭＰ１４０）含量。结果：２组患者舌色分别以紫色与红色为主，ＧＭＰ１４０检测有可比变化；舌苔性状在急性期均以腻苔为主。结论：脑梗塞患者体内血小板反应性增高要胜于脑出血患者，结合其他四诊表明有痰瘀阻络标实征象，由此确立分期论治观点，临床取得较好疗效。认为ＧＭＰ１４０检测方法能敏感显示脑卒中后体内血小板破坏程度，可作为舌色观察的量化指标；通过动态观察舌象变化，强调了舌诊在中西医学融合贯通中的重要意义和特殊地位。
Objective:To find the meaning of tongue examination in diagnosis and treatment of the senile cerebrovascular disease.Methods:Tongue examination and the determination of platelet α granule membrane protein 140(GMP 140)examined with radioimmunity assay were done on 122 patients of senile cerebral infarction and 54 patients with cerebral hemorrhage.Results:①Purple or red is the most common colour of tongue in both cerebral infarction and cerebral hemorrhage groups.The levels of GMP 140 have significantly difference between the two groups,and the activity of platelet in cerebral infarction group is higher than that in cerebral hemorrhage group.②Greasy fur mainly appear during acute stage of stroke.Conclusion:Integrating the results of four diagnostic methods(including tongue examination),it is suggested that there is phlegm and blood stasis in channals and collaterals in these cerebrovascular diseases.Treatment based on this,will lead to a better result.GMP 140 is considered to be a quantitative detection of the condition of platelets.The meaning of tongue examination in integrating traditional Chinese medicine with western medicine is emphasized.
出处
《中日友好医院学报》
1997年第2期151-155,共5页
Journal of China-Japan Friendship Hospital
关键词
舌诊
诊断
治疗
老年
人
脑血管疾病
medicine,Chinese traditional
tongue examination
granule membrane protein 140
aged
cerebrovascular disorders
