基于性别差异的化生型慢性萎缩性胃炎患者色诊特征研究
Research on Clinical Characteristics of Metaplastic Chronic Atrophic Gastritis Patients from Complexion Diagnosis Based on Gender Difference
陈佳萍 1杜正光 2关贝 3吉星宇 4陈龙畅 4王永吉 5马赟1
作者信息
- 1. 首都医科大学中医药临床学院 北京 100013
- 2. 首都医科大学附属北京中医医院 北京 100010
- 3. 中国科学院软件研究所集成创新中心 北京 100190
- 4. 首都医科大学中医药学院 北京 100069
- 5. 中国科学院软件研究所集成创新中心 北京 100190;中国科学院大学计算机科学与技术学院 北京 100049;中国科学院软件研究所计算机科学国家重点实验室 北京 100190
- 折叠
摘要
目的 基于性别差异,分别探讨男性与女性化生型慢性萎缩性胃炎(Chronic atrophic gastritis,CAG)患者颜面色诊特征,从中医发病学角度出发探究不同性别患者的病变机理,为中医药防治化生型CAG提供个性化参考.方法 本研究应用MT-BX-01四诊仪采集慢性非萎缩性胃炎(Chronic non atrophic gastritis,CNG)与CAG患者的面色信息,采用病例对照研究方法,分别从男性与女性化生型CAG患者及CNG患者的面色色度学特征进行分析.结果 在女性患者中,CAG伴轻度和中、重度肠化(Intestinal metaplasia,IM)组面部肝区位点L值、a值均显著低于CNG组(P<0.05).在男性患者中,CAG伴中、重度IM组脾区位点b值显著高于CNG组(P<0.05).结论 化生型CAG患者的面色特征存在一定的性别差异,化生型CAG女性患者面部色度值在肝区变化最显著,男性患者则主要表现于脾区.提示女性化生型CAG发病多与肝相关,男性发病则多与脾相关,为临床针对不同性别化生型CAG患者进行中医临床诊疗与防治提供了个性化思路.
Abstract
Objective Based on gender differences,this paper discusses the characteristics of facial color diagnosis in male and female patients with metaplastic chronic atrophic gastritis(CAG),and explores the pathological mechanism of different gender patients from the perspective of TCM pathogenesis,so as to provide personalized reference for TCM prevention and treatment of metaplastic CAG.Methods In this study,the complexion information of patients with chronic non atrophic gastritis(CNG)and CAG was collected by MT-BX-01 four-diagnostic instrument.The color colorimetric characteristics of male and female metaplastic CAG patients and CNG patients were analyzed by case-control study.Results In female patients,the L value and a value of liver region in CAG with mild intestinal metaplasia(IM)group,moderate and severe IM were significantly lower than those in CNG group(P<0.05).In male patients,the L value of spleen region in CAG with moderate and severe IM group was significantly higher than that in CNG group(P<0.05).Conclusion There is a certain gender difference in the facial color characteristics of patients with metaplastic CAG.The facial chromaticity value of female patients with metaplastic CAG changes most significantly in the liver area,while that of male patients mainly in the spleen area.It is suggested that the incidence of female metaplastic CAG is mostly related to liver,while that of male is mostly related to spleen,which provides a personalized method for clinical diagnosis and treatment of metaplastic CAG based on gender differences.
关键词
慢性萎缩性胃炎/肠上皮化生/色诊/客观化/色度值Key words
Chronic atrophic gastritis/Intestinal metaplasia/Face diagnosis/Objectification/Chromaticity value引用本文复制引用
出版年
2024
NETL
NSTL
万方数据