中国中西医结合消化杂志2024,Vol.32Issue(1) :56-59.DOI:10.3969/j.issn.1671-038X.2024.01.10

炎症性肠病患者中医舌象特征分析

Exploration of Traditional Chinese Medicine tongue features in patients with inflammatory bowel disease

陈立基 马燕颜 黄佩娣 张北平
中国中西医结合消化杂志2024,Vol.32Issue(1) :56-59.DOI:10.3969/j.issn.1671-038X.2024.01.10

炎症性肠病患者中医舌象特征分析

Exploration of Traditional Chinese Medicine tongue features in patients with inflammatory bowel disease

陈立基 1马燕颜 1黄佩娣 1张北平2
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作者信息

  • 1. 广州中医药大学第二临床医学院(广州,510405)
  • 2. 广州中医药大学第二附属医院脾胃病科
  • 折叠

摘要

目的:探讨炎症性肠病患者中医舌象特征,为中医药治疗炎症性肠病提供参考依据.方法:纳入广州中医药大学第二附属医院2022年3-12月行结直肠镜检查的27例炎症性肠病患者(炎症性肠病组)及同期25例健康人(正常对照组)为研究对象,采集舌象,并分析其在分布上的差异.结果:炎症性肠病组和正常对照组在舌色及苔色的比较上,差异无统计学意义(P>0.05).炎症性肠病组患者正常舌形的占比低于正常对照组,差异有统计学意义(P<0.05),齿痕舌、腻苔的占比显著高于正常对照组,差异有统计学意义(P<0.05).亚组分析中,溃疡性结肠炎组和克罗恩病组在舌象的比较上,差异无统计学意义(P>0.05).结论:炎症性肠病患者的舌象多见齿痕、腻苔,这些特征与脾虚、湿盛有一定的关系.

Abstract

Objective:To investigate the characteristics of Traditional Chinese Medicine tongue features in pa-tients with inflammatory bowel disease(IBD),and to provide a reference basis for the treatment of IBD by Tradi-tional Chinese Medicine.Methods:From March to December 2022,the patients who underwent colonoscopy were recruited from the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,including 27 IBD pa-tients(the IBD group)and 25 healthy individuals(the normal control group).We collected their tongue features and analyzed the differences in their distribution.Results:There was no statistically significant difference between the inflammatory bowel disease group and the normal control group in the comparison of tongue color and coating color(P>0.05).Compared with the normal control group,the IBD group had a lower percentage of normal tongue shape(P<0.05)and a higher percentage of toothed tongue and greasy coating(P<0.05).In the subgroup analysis,there was no statistically significant difference between the ulcerative colitis group and the Crohn's disease group in the comparison of tongue features(P>0.05).Conclusion:Compared with the normal control group,the tongue of IBD patients tends to show teethed tongue and greasy moss,features that are related to spleen deficiency and dampness.

关键词

炎症性肠病/溃疡性结肠炎/克罗恩病/舌象

Key words

inflammatory bowel disease/ulcerative colitis/Crohn's disease/tongue features

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基金项目

省部共建中医湿证国家重点实验室专项(SZ2021ZZ2701)

&&(B67016)

&&(B67017)

出版年

2024
中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
参考文献量24
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