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对47例哮喘急性发作患者,就肾素-血管紧张素-醛固酮含量与中医辨证分型关系进行研究,发现哮喘组肾素活性(PRA)含量高于对照组(P<0.01);血管紧张紊Ⅱ(AT-Ⅱ)以寒哮组增加最为明显(P<0.01);醛固酮(ALD)热哮组低于对照组(P<0.05)。哮喘组PRA与PacO_2呈负相关,热哮组ALD与PaCO_2呈正相关。并发现PRA,AT-Ⅱ随病情加重而升高。死亡者PRA水平高于缓解患者(P<0.01)。提示:PRA可作为哮喘患者预后判断及疗效考核指标。
In 47 patients with acute exacerbation of asthma, the relationship between renin - angiotensin - aldosterone content and TCM syndrome differentiation was studied. The results showed that the renin activity (PRA) in asthma group was higher than that in control group (P <0.01) Tension turbulence (AT-Ⅱ) was the most significant increase in the group of cold-induced asthma (P <0.01), aldosterone (ALD) was lower in the heat-asthma group than the control group (P <0.05). There was a negative correlation between PRA and PacO_2 in asthma group, and positive correlation between ALD and PaCO_2 in heat asthma group. And found that PRA, AT-Ⅱ increased with the exacerbations. The level of PRA in the deceased was higher than that in the relieved patients (P <0.01). Tip: PRA can be used as a prognostic indicator of asthma patients and indicators of efficacy.