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高血压中医分型与内皮素、一氧化氮的关系探讨 被引量:5

Relationship between the Endothelin/Nitric Oxide and hypertension with traditional Chinese Medical classification
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摘要 目的探讨原发性高血压中医分型与血浆内皮素 /血清一氧化氮的变化规律。方法10 2例原发性高血压患者按中医辨证分型为阴阳两虚型 (30例 )、痰湿壅盛型 (2 3例 )、阴虚阳亢型 (31例 )、肝火亢盛型 (18例 )和正常血压对照组 (2 3)例。分别检测血浆内皮素 (ET)、血清一氧化氮 (NO)浓度 ,并分析之间的关系。结果除肝火亢盛外 ,高血压中医各证型较正常对照组ET明显增高 ,NO明显降低。ET值 :阴阳两虚型 >痰湿壅盛型 >阴虚阳亢型 >肝火亢盛型。NO值 :阴阳两虚型 <痰湿壅盛型 <阴虚阳亢型 <肝火亢盛型。结论ET/NO可作为高血压中医证型严重度的判断指标。 Objective To investigate the chaning regularity between the TCM classification in essential hypertension and plasma endothelin, serum nitric oxide. Methods 102 patients with essential hypertension were divided into different types with TCM classification i.e., yin-yang deficiency type (30 cases), stagnation of phlegm-dampness type (23 cases),hyperactivity of yang due to yin deficiency type(31cases),liver-fire excess type (18cases),and a control group with normal blood pressure(23cases). The concentration of plasma ET and serum NO was tested respectively and their relationship was analyzed. Results In contrast with the control group with normal blood pressure, ET raised and NO declined obviously in types with TCM classification except in liver-fire excess type. ET value: yin-yang deficiency type >stagnation of phlegm-dampness type > hyperactivity of yang due to yin deficiency type >liver-fire excess type . NO value: yin-yang deficiency type< stagnation of phlegm-dampness type <hyperactivity of yang due to yin deficiency type < liver-fire excess type. Conclusion ET/NO can be used as the index for judging the order of severity hypertension with TCM classification.
出处 《贵州医药》 CAS 2002年第6期502-503,共2页 Guizhou Medical Journal
基金 贵州省教委资助项目
关键词 原发性高血压 中医分型 内皮素 一氧化氮 EH Essential hypertension Traditional Chinese medical classification Endothelin Nitrix Oxide
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  • 1李泓,张济颖,胡宪蕴.肾素—血管紧张素—醛固酮、血浆心钠素水平在原发性高血压中医分型的研究[J]天津中医,1989(03).
  • 2王宪衍,唐树德,王谷亮,钱文琪,王孝铭,龚兰生.原发性高血压患者中医分型与现代医学分型的关系[J]上海第二医科大学学报,1988(01).

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