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炎症性肠病患者中医舌象特征分析

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

inflammatory bowel diseaseulcerative colitisCrohn's diseasetongue features

陈立基、马燕颜、黄佩娣、张北平

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广州中医药大学第二临床医学院(广州,510405)

广州中医药大学第二附属医院脾胃病科

炎症性肠病 溃疡性结肠炎 克罗恩病 舌象

省部共建中医湿证国家重点实验室专项&&&&

SZ2021ZZ2701B67016B67017

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
年,卷(期):2024.32(1)
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