【摘要】 目的 :通过对冠心病人血中胰岛素、胰高血糖素指标客观化检测 ,探讨中医辨证分型规律。方法 :对 5 0例冠心病患者和 4 0例健康人分别测定空腹血糖、血脂、血清胰岛素、胰高血糖素 ,并对冠心病患者进行中医辨证分型 ,分为气虚组、阴虚组、阳虚组、气滞血瘀组、寒凝痰浊组。结果 :各项检测指标冠心病组均明显高于正常对照组 ,冠心病虚证组明显高于实证组 ,其中气虚组 >阴虚组 >阳虚组 >气滞血瘀组 >寒凝痰浊组。结论 :冠心病中医证型与血糖、血脂、胰岛素、胰高血糖素等检测指标有相关性 ,可作为中医辨证分型的客观指标 ,具有临床诊断价值。冠心病虚证组以血糖、血脂、胰岛素升高为主 ,其中气虚型 >阴虚型 >阳虚型 ;冠心病实证组各项检测指标均接近正常对照组。更多还原

【Abstract】 Objective:to find the regularity of differentiation of syndrome and type by testing the objective targets of insulin and pancrepic glucagons in the blood of patients of CHD.Methods:50 cases with CHD and 40 cases with healthy control were tested fasting blood glucose (FBG) blood cholesterol (CH) insulin and pancrepic glucagons.The patients of CHD were classified as deficiency of Qi;deficiency of Yin;deficiency of Yang; Qi stagnant and blood stasis; cold condensation and phlegm turbid syndrome by differentiating syndrome and type.All data were processed by statistics.Results:All the targets of CHD groups were higher than those of healthy control group. (P<0.01 ) and the targets of deficiency groups were obviously higher than those of excess groups.Among those,deficiency of Qi>deficiency of Yin>deficiency of Yang>Qi stagnant and blood stasis>cold condensation and phlegm turbid syndrome.Conclusion:The research indicates that there is a close relationship between CHD differentiation of syndrome and type and targets of blood glucose,blood cholesterol,insulin and pancreapic glucagon.So it can be the objective targets for differentiation of syndrome and also sets a high value on clinical diagnosis.The data of targets in CHD deficiency groups increased,which include blood glucose,blood cholesterol and insulin.(deficiency of Qi>deficiency of Yin>deficiency of Yang);while difference between excess groups and healthy control groups was insignificant.更多还原