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1、临床医学论文•肠易激综合征不同中医证型与胃肠激素关系的临床硏究作者:马军潘锦瑶方穗雄郑德俊【摘要】冃的:探讨肠易激综合征不冋中医证型血浆中胃肠激素的变化。方法:按功能性胃肠病罗马II有关诊断标准选择病例123例,按中医分型标准再分为肝郁气滞组25例,肝气乘脾组40例,脾胃虚弱组35例,大肠燥热组23例,检测患者血浆中P物质(SP)、生长抑素(SS)、血管活性肠肽(VIP)、胆囊收缩素(CCK)的含量。结果:肝气郁结组和大肠燥热组SS、CCK较健康对照组升高,SP下降(P<0.05),两组间无明显差异(P〉0.05);肝气
2、乘脾组SS、VIP、CCK升高(P<0.05);脾胃虚弱组SP、SS、VIP、CCK均较健康对照组升高(P<0.05)oSS含量肝气乘脾组与脾胃虚弱组之间无明显差异(P〉0.05),肝气郁结组与大肠燥热组无明显差异,但前两组的耍高于后两组的(P<0.05);VIP含量肝气郁结组、大肠燥热组与健康对照组无明显异常,肝气乘脾组与脾胃虚弱组较健康对照组升高(P<0.05),两组之间无显著差异;SP含量肝气郁结组勻大肠燥热组都低于健康对照组(PvO.05),两组间无差异,脾胃虚弱组高于健康对照组(P<0.05),肝气乘脾组无明显
3、变化。结论:胃肠激素变化与IBS不同中医证型之间有一定的联系,但非特异性,不能作为中医辨证分型的重要依据。【关键词】肠易激综合征;中医分型;胃肠激素[AbstractObjcctivcToexplorethechangesofgastrointestinalhormonesinpatientswithvariousTCMSyndrometypesofirritablebowe1syndrome(IBS).Methods123patientswithIBS,whosediagnosisconformedtotheRomeU
4、diagnosticstandard,weredividedintofourgroupsaccordingtoTCMSyndrometyping,25patientsinLiver・qiDepression(LQD)group,40inliverStagnancywithSpleenDeficiency(LSSD)group,35inSpleenStomachDeficiency(SSD)group,23inLargeintestinalretentionofdrystoolandheat(LIRDH)group.Pla
5、smacontentsofsubstanceP(SP),somatostatin(SS),vasoactiveintestinalpeptide(VIP),cholecystokinin(CCK)weredetermined・ResultsPlasmacontentsofSSandCCKinLQDgroupandLIRDHgroupwerehigherandSP1owerthanthoseincontrol(P<0.05),therewasnodifferencebetweentwogroups(P>0.05).TnLS
6、SDgroup,SS,VIPandCCKwerehigherthanthoseincontrol(P<0.05)・InSSDgroup,SP,SS,VIPandCCKwereallhigherthanthoseofcontrol(P<0.05)・SSinLSSDgroupandSSDgrouphadnosignificantdifference(P>0.05),itwasthesamebetweenLQDgroupandLIRDHgroup,buttheformertwogroupswerehigherthanthela
7、sttwogroups(P<0.05)・VIPinLQDgroupandLIRDHgroupwerenotsignificantlydifferentfromcontrol,whilcthoseinLSSDgroupandSSDgroupwerehigher(P<0.05),andtherewasnodifferencebetweenLSSDgroupandSSDgroup.SPinLQDgroupandLIRDHgroupwere1owerthanthoseincontro1(P<0.05),therewasnc)di
8、fferencebetweentwogroups,SPinSSDgroupwashigherthanthoseincontrol,whileLQDgroupwassimilarwithcontrol.ConclusionThechangesofgastrointestinalhormoneswererelatedwi