肺肾两虚型COPD患者血清Alb、PA及TF的含量测定

为探讨慢性阻塞性肺病（COPD）肺肾两虚型患者血清中白蛋白（Alb）、前白蛋白（PA）、转铁蛋白（TF）的含量对辨证分型的作用，作者对80例慢性阻塞性肺病患者进行了观察，结果发现肺肾两虚型为本病缓解期的81．8％，痰热郁肺型、痰湿蕴肺型多见于本病急性期，分别占66.7％、55.6％。肺肾两虚型患者血清PA、TF含量下降，与对照组相比差异有显著意义，其中以TF含量下降最为显著（P＜0．001），Alb含量下降不明显（P＞0．05）。结果表明上述指标可考虑作为阻塞性肺病肺肾两虚型辩证分型时综合指标的一部分。

DETERMINATION OF SERUM LEVELS OF ALBUMIN,PREALBUMIN AND TRANSFERRIN IN PATIENTS WITH FEISHENLIANGXU OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

To evaluate significance of serum levels of albumin (Alb), prealbumin (PA), transferrin (TF ) in patients with Feishen Liangru Syndrome (FSLXS ) of chronic obktructlve pulmonary dlseasr (COPD) in TCM syndrome fifferentiation, eight patients with SOPD were observed. The results showed that FSLXS was the major syndrome of convalescent stage which was accunted for 8l. 8%. Tanre Yufei Sgndrome (FRYFS) Tanshi Yunfei Syndrome (TSYFS) were mainly observed at acute stage shich was ac counted for 66. 7% and 55. 6% respectively. This study chose serum Albumin (Alb). Preulbumin (PA) and Transferrin (TF) as the monitoring parameters. We found that te serum levels of PA, TF in patients with FSLXS were lower than those in normal controls, the change in TF level was more obvious (P <0.01), the decrease of serum Alb was not obvious (P >0. 05) The results could be considered as a part of the comprehensive experimenial paramelers for TCM syndrome differentiation in FSLXS of xhronic ostructive pulmonary ciease