脾虚证分度定量诊断研究

Study On Graduated Quantitative Diagnosis of Spleen Deficiency Syndrome

通过对９０例多系统多病种脾虚患者的研究，采用多指标探索脾虚证的定量诊断方法。发现随看木糖吸收率的逐步降低，脾虚证各种症状的出现率不断升高；除周围血管阻力渐上升外，唾液淀粉酶活性、血液流变学检测、心功能、血红细胞、血红蛋白及淋巴细胞转化率等指标值均逐渐下降，并与木糖吸收率呈正相关，有显著性意义。按照上述规律，将脾虚证分为Ⅰ、Ⅱ、Ⅲ３度，并列出各度的症状出现率及检测结果，初步提出脾虚证分度定量诊断法。

Cases with Spleen Deficiency Syndrome(SDS)in various diseases of different body system were studied to obtain a quantitative measurement of the syndrome for more accurate diagnosis.Rates of symptom manifestation of SDS,absorptivity of D-xylose,activity of salivary amylase,hemoglobin level,RBC count,plasma albumin,cardiac function as well as some parameters of hemorheology and lymphocyte transformation rate were observed.The results clearly showed that the D-xylose absorptivity was much lower in patients with higher appearance rate of SDS symptoms,which was dose-dependent.Along with the lowering of D-xylose absorptivity,the values of abovementioned parameters dropped were positively correlated to it.On the contrary,the peripheral vascular resistence elevated as D-xylose absorptivity dropped.The author divided the SDS into three stages as a graduated quantitative diagnosis based on the drop of D-xylose absorptivity,the increase of SDS symptom and other changes of laboratory findings.