CAJ | 학술논문

目的:探讨鼻衄虚证患者鼻腔脱落细胞的变化情况.方法:对变应性鼻炎中医辨证为肺气虚、脾气虚及肾阳虚的113例患者的鼻腔进行脱落细胞检查.结果:变应性鼻炎患者鼻分泌物中可见嗜酸性粒细胞.脾虚组、肾虚组、对照组的中性粒细胞比重较大,脾虚组和对照组比较有显著性差异,而肾虚组出现了嗜酸性脱落细胞,男女出现概率为16.6%及28.6%,变态反应症状越重及全身气虚、阳虚证症状越明显,则炎性反应越重,中性粒细胞比重越大,出现嗜酸性脱落细胞的阳性率越高.结论:鼻腔脱落细胞中的上皮细胞、中性粒细胞及嗜酸性粒细胞的变化可作为变应性鼻炎患者中医辨证分型的参考客观指标.
목적:탐토비뉵허증환자비강탈락세포적변화정황.방법:대변응성비염중의변증위폐기허、비기허급신양허적113례환자적비강진행탈락세포검사.결과:변응성비염환자비분비물중가견기산성립세포.비허조、신허조、대조조적중성립세포비중교대,비허조화대조조비교유현저성차이,이신허조출현료기산성탈락세포,남녀출현개솔위16.6%급28.6%,변태반응증상월중급전신기허、양허증증상월명현,칙염성반응월중,중성립세포비중월대,출현기산성탈락세포적양성솔월고.결론:비강탈락세포중적상피세포、중성립세포급기산성립세포적변화가작위변응성비염환자중의변증분형적삼고객관지표.
Objective:To explore the change of exfoliated cell in nasal cavity in nosebleed and deficiency syndrome patient. Methods:113 patients with allergic rhinitis were divided into insuffi-ciency of lung-qi group, deficiency of spleen-qi group and deficiency of kidney-yang group. All of them were proceeded cytoscopy of exfoliated cell in nasal cavity. Results:The excreta of allergic rhinitis patients had eosnophils. The proportion of neutrophil was large in deficiency of spleen-qi group, deficiency of kidney-yang group and control group. The comparison between deficiency of spleen-qi group and control group had significant difference. Deficiency of kidney-yang group ap-peared eosinophilic, and the occurrence probability of men and women were 16.6%and 28.6%. The symptoms of allergic reaction, systemic deficiency of qi and yang deficiency were more obvious, the inflammatory reaction was heavier the proportion of neutrophil was large, the positive rate of oc-curring eosinophilic was higher. Conclusion: The change of epithelial cell, neutrophil and eosno-phils of exfoliated cell in nasal cavity can become the referenced objective indicators to classify al-lergic rhinitis through syndrome differentiation of TCM.