肝病常见证候的甲襞和球结膜微循环观察

为了研究肝病证候的病理生理基础，探讨肝证临床辨证客观化指标，按照田牛临床微循环检查方法，对111例辨证属于中医肝证的病例进行了甲壁和球结膜微循环检查。结果表明，所有肝证患者甲壁和球结膜微循环积分值显著高于健康人对照组（P＜0.01）。肝气郁结和肝血虚二证积分值相近，变化程度较轻。肝阳化风证患者积分值显著高于肝气郁结、肝阳上亢和肝血虚证（P＜0.001）。结果提示甲襞和球结膜微循环改变与中医肝证临床特征相符，临床微循环检查对肝病辨证和指导治疗有一定参考价值。

Observation of Nailfold and Bulboar Conjunctival Microcirculation to Common Syndrome of Hepatic Diseases

In order to research the pathophysiological basis of the hepatic diseases syndrome and study the objective indexes for differentiation of Syndromes, the mi-crocirculation of nailfold and bulbar conjunctiva were examined on 111 patientswhose syndrome differentiated belonged to hepatic diseases in traditional Chinesemedicine, according to Tian Niu's clinical examination methods of microcirculation. The results showed that the multiple scores of nailfold and bulbar conjunctival microctrculation to all patients were obviously higher than health controlgroup (P