CAJ | 학술논문

目的：探讨“毒瘾”复发的中医病理因素与相关生化指标之间的关联性。方法：对354例自愿参加调查的福州市强制戒毒所与福建省司法厅戒毒管理局所属强制戒毒所的自愿戒毒者，采集四诊信息，应用证素辨证方法提取中医病理因素，检测肝肾功能、血脂、血糖指标。结果：1）吸毒组在肝功、血脂方面均较健康组水平显著升高；肾功方面司法组较健康组水平下降；血糖方面公安组较健康组水平显著下降，司法组较健康组水平上升。2）公安组与司法组均病位上胆与肌酐显著相关，病性上阴虚与尿素氮显著相关。结论：吸毒者自身代谢状况与中医病理因素相关，相关生化指标可作为证素辨证的参考指标。
목적：탐토“독은”복발적중의병리인소여상관생화지표지간적관련성。방법：대354례자원삼가조사적복주시강제계독소여복건성사법청계독관리국소속강제계독소적자원계독자，채집사진신식，응용증소변증방법제취중의병리인소，검측간신공능、혈지、혈당지표。결과：1）흡독조재간공、혈지방면균교건강조수평현저승고；신공방면사법조교건강조수평하강；혈당방면공안조교건강조수평현저하강，사법조교건강조수평상승。2）공안조여사법조균병위상담여기항현저상관，병성상음허여뇨소담현저상관。결론：흡독자자신대사상황여중의병리인소상관，상관생화지표가작위증소변증적삼고지표。
Objective:To explore the association between traditional Chinese medicine ( TCM) pathological factors and the biochemical indicators of “addiction” relapse of drug abusers .Methods:Three hundred and fifty four cases of drug addicts from compulsory detoxifi-cation institute of Fuzhou city and the jurisdiction of the Department of Justice of Fujian Province volunteered for the study .Information on four diagnostic methods was collected , and TCM pathological factors were extracted by using syndrome elements differentiation .Be-sides, liver and kidney function, blood lipids, blood glucose index were tested.Results:1)Levels of liver function and blood lipid of the drug addicts were significantly higher than those of the healthy group; level of kidney function of the judicial group was lower than that of the healthy group;level of blood glucose of the public security group were significantly lower than that of the healthy group , while the judicial group were higher than that of the healthy group .2) As for disease location , gallbladder was significantly related to CREA in both of the public security group and the judicial group; as for the nature of disease , Yin deficiency was significantly associated with BUN.Conclusion:Metabolism is relevant to TCM pathological factors in drug addicts during the rehabilitation period .Biochemical in-dicators can be taken as relevant evidence for syndrome elements differentiation .