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慢性萎缩性胃炎患者舌象特征研究进展分析

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慢性萎缩性胃炎(CAG)是临床常见疾病,并可能进展为胃癌.舌诊对中医辨证论治和疗效评价有重要的意义,在脾胃病中应用甚广.文章综述CAG患者的舌象特征研究现状,以期为进一步辅助诊断和治疗CAG提供思路.综述各研究发现:CAG患者舌象多见红舌、淡红舌、胖大和(或)齿痕舌、齿痕舌、白苔、薄黄苔.在病情加重过程中,舌色从淡向红、紫、暗发展,舌苔从白向黄、黑,从薄向厚、腻发展.CAG患者幽门螺杆菌感染情况、病理改变程度、胃镜下胃黏膜状态均与舌象有一定的对应关系,这些结果为CAG的临床诊疗提供了有价值的参考.
Research progress of tongue features in chronic atrophic gastritis patients
Chronic atrophic gastritis(CAG)is a common disease in clinic and may progress to gastric cancer.Tongue diagnosis plays an important role in traditional Chinese medicine syndrome differentiation and treatment efficacy evaluation,and is widely used in spleen and stomach diseases.This article reviews the characteristics of tongue in patients with CAG,in order to provide highlights for further auxiliary diagnosis and treatment of CAG.The previous findings are summarized as follows:patients with CAG have red,light red,plump tongue and/or tooth-marked tongue,tooth-marked tongue,white tongue coating,and thin and yellow tongue coating.In the progress of the disease,the tongue color develops from light to red,purple,and dark,and the tongue coating develops from white to yellow and black,and from thin to thick and greasy.The helicobacter pylori infection status,the degree of pathological changes,and the status of gastric mucosa under gastroscopy in CAG patients all relate to tongue features,and these results may provide valuable references for the clinical diagnosis and treatment of CAG.

Chronic atrophic gastritis(CAG)Tongue featureTongue diagnosisProgress of the diseaseHelicobacter pylori(Hp)GastroscopePathology

郑天乐、张语诺、钟心怡、王旭

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北京中医药大学生命科学学院,北京 100029

北京中医药大学中医学院,北京 100029

慢性萎缩性胃炎 舌象 舌诊 病情发展 幽门螺杆菌 胃镜 病理

国家自然科学基金

82004222

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(3)
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