清热止血药治疗乳糜尿淋巴管内压力观察

Observation on Intralymphangial Pressure in Chyluria Treated with Heat-clearing and Hemostatic Drugs

为探讨清热止血药对乳糜尿的治疗机理，本文对３０例乳糜尿患者于治疗前后进行了足背淋巴管内压力测量。结果痊愈组２６例平均分别为１２．９８±３．４０（±ｓ下同）和７．０４±１．９８ｃｍＨ２Ｏ；显效组４例为８．５２±１．４６和９．１０±０．１７ｃｍＨ２Ｏ；湿热下注者痊愈１８例为１１．６７±２．８０和６．６４±２．６２ｃｍＨ２Ｏ；肾阴虚者痊愈８例为１５．８９±４．７６和８．２３±０．５０ｃｍＨ２Ｏ；非血性者痊愈１６例为１１．０９±３．５３和５．９５±１．６０ｃｍＨ２Ｏ；血性者痊愈１０例为１４．２５±３．２３和８．４９±２．４８ｃｍＨ２Ｏ。除显效组外，各组治疗前后均有显著差异（Ｐ＜０．０１）。提示清热止血药通过消除或减轻淋巴管病理损伤，使淋巴液回流通畅，因而淋巴管内压力下降，促使乳糜尿获愈。

In order to investigate the therapeutic mechanism in chyluria treatd with heat-clearing and hemostatic drugs, intralymphangial pressure (ILP) was messured for 30 patients with chyluria before and after treatment with heat-clearing and hemostatic drugs. The result showed that ILP was 12.98±3.40cm H2O(±s) before and 7.04±1.98cmH2O (±s) after treatment in 26 cases of cured group, and in 4cases of effective group they were 8.52±1.46cmH2Oand 9.10±0.17 cmH2O. In 18 cases of cured group with damp-heat downward flow they were 11. 67±2.80 cmH2O, for 8 cases of kindney-yin group they were 15.89±4.76cmH2O and 8.33±0.50 cmH2O, for 16 cases of nonhemochyluria they were 11.09±3.53 cmH2O and 5.95±1.60 cmH2O, for 10 cases of hemochyluria they were 14.25±3.25cmH2O and 8.49±2.48cm H2O.ILP were remarkably different before and after treatment in each group except that in effective group (P<0.01). It was showed that heat-clearing and hemostatic drugs could improve lymphatic return by eliminating and abating the pathologic injury of lymphatic plexus, therefore, ILP dropped and chyluria was cured.