The Value And Feasibility Of The Absorption Test Of D-xylose Into Serum In Syndrome Differentiation Of Spleen Deficiency

ObjectiveThe significance of the absorption test of D-xylose into urine has been universally acknowledged in academic circles. The clinical application of this test has been limited at the same time for its insufficient, such as be influenced by renal insufficiency, or patients’non-adherence in processes of taking urine specimen and so on. This article attempts to test the absorption of D-xylose into serum and urine specimen simultaneously and analyse their relationship statistically. In order to further evaluate the value and feasibility of the absorption test of D-xylose into serum in syndrome differentiation of spleen deficiency, and to get "the absorption test of D-xylose" moving at the spleen deficiency syndrome differentiation of micro research and application.Methods1. Cases of study came from Guangzhou University of Chinese Medicine Department of Gastroenterology, First Affiliated Hospital, outpatients and ward treatment of chronic superficial gastritis with spleen deficiency. The control groups contained normal group (healthy volunteers) and chronic superficial gastritis without spleen deficiency.2. These three groups were simultaneously detected the serum xylose absorption test, urine xylose absorption test. Through the statistical analysis of test data, preliminarily compared and evaluated the value of serum xylose absorption test in spleen deficiency syndrome differentiation.3. Statistical analysis method:The operation about data input was carried by two people. Used the statistical software of SPSS17.0for Windows in data processing. According to the method of chi-square test in constituent ratio of grouped data, t test and rectilinear correlation analysis were adopted between variable, Kruskal-Wallis and Nemenyi were used to analyze data incapable of being fitted by parameter models.Results1. As to the structure of age and sex, there were no significant differences among the case groups and the control groups (P>0.05), and the data were of good comparability.2. The outcomes of those two xylose absorption tests (Serum xylose absorption test and urine xylose absorption test) were all presenting obviously positive correlation in these three groups.3. The outcomes of the xylose absorption test into urine of splenic deficiency group were less than those of the normal group and non-splenic deficiency group, and those differences have significance statistically among groups, as the same as results before.4. Among those splenic deficiency, non-splenic deficiency and the control groups, the outcomes of the xylose absorption test into serum has been presenting differences between groups, as the same as the xylose absorption test into urine. The differences between splenic deficiency and non-splenic deficiency groups, splenic deficiency and the control groups had significance statistically, while the differences between non-splenic deficiency and the control groups had no statisticl significance.Conclusion1."Serum xylose absorption test" and "urine xylose absorption test" for reflecting the subjects of the small intestine absorption function with the same meaning. The former possess of advantages such as not be restricted by renal disease, much easier controlled and higher accuracy.2. The outcomes of serum D-xylose absorption test in splenic deficiency group was lower than those other groups obviously, and it could be a characteristic for identifying.3. Based on the above results, Serum xylose absorption test can be taken the place of urine xylose absorption test in spleen deficiency syndrome differentiation preliminarily...