分析冠状动脉介入术对冠心病气阴两虚证患者舌象特征的影响  

Analysis of the Effect of Percutaneous Coronary Intervention on Tongue Features in Coronary Heart Disease Patients with the Pattern of Dual Deficiency of Qi and Yin

作　　者：夏雨墨 王庆盛 冯晓 肖欣昂 王忆勤[1] 许朝霞[1] Xia Yumo;Wang Qingsheng;Feng Xiao;Xiao Xin'ang;Wang Yiqin;Xu Zhaoxia(School of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学中医学院,上海201203

出　　处：《世界科学技术-中医药现代化》2023年第4期1462-1467,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金委员会面上项目(82074333):基于舌诊多源信息及临床危险因素的动态变化探讨早发冠心病中医证候演变规律,负责人:许朝霞;上海市卫生和计划生育委员会中医药科技创新项目(ZYKC201701017):冠心病风险预测及中医健康管理系统的研制,负责人:许朝霞;上海市科学技术委员会科技计划项目(21DZ2271000):上海市健康辨识与评估重点实验室,负责人:王忆勤

摘　　要：目的气阴两虚证为冠心病常见的中医虚证类证型,冠状动脉介入术(Percutaneous coronary intervention,PCI)是常用的血运重建手术,可帮助冠心病患者快速缓解临床的不适症状。对比未接受PCI治疗和接受过PCI治疗的冠心病气阴两虚证患者的舌象参数,观察PCI术对冠心病气阴两虚证患者的影响,以期为从中医角度认识冠心病的发展及预后提供客观化依据。方法采集冠心病患者舌象图片,运用计算机图像分析系统提取舌象参数,分析冠心病气阴两虚证非PCI治疗组和PCI治疗组患者的舌象特征。结果和非PCI治疗组相比,PCI治疗组患者舌中部、舌右部的G、B值以及舌整体颜色的B值较小;舌根部、舌中部、舌体两侧、舌整体的舌色以及舌苔整体颜色的S值较大,以上差异均具有统计学意义(P<0.05)。结论冠心病气阴两虚证非PCI治疗组和PCI治疗组患者的舌象参数存在差异,可为中医诊疗冠心病的客观化、规范化发展提供依据。Objective The pattern of dual deficiency of qi and yin is a common type of deficiency pattern in traditional Chinese medicine(TCM)for coronary heart disease(CHD),and percutaneous coronary intervention(PCI)is a commonly used revascularization surgery,which can help CHD patients to quickly alleviate uncomfortable symptoms.Comparing the tongue parameters of patients who have not received PCI treatment and who have received PCI treatment for CHD with the pattern of dual deficiency of qi and yin,and observing the effect of PCI on patients,in order to provide references for understanding the development and prognosis of CHD from the perspective of TCM.Methods We collected tongue pictures of CHD patients,and the tongue parameters of the CHD patients with the pattern of dual deficiency of qi and yin were extracted by a computer system,to analyze the differences of patients'tongue features in the non-PCI treatment group and the PCI treatment group.Results Compared with the non-PCI treatment group,the G and B values of the middle of the tongue,the right part of the tongue,and the overall color of the tongue in the PCI treatment group were small,and the S values of the root of the tongue,the middle of the tongue,both sides of the tongue and the overall color of the tongue,and the overall color of the tongue fur were larger,and the above differences were statistically significant(P<0.05).Conclusion There are differences in the tongue parameters of CHD patients in the non-PCI treatment group and the PCI treatment group,which can provide a reference for the objectivization and standardized development of CHD diagnosis and treatment in TCM.

关 键 词：冠心病 气阴两虚证 冠状动脉介入术 颜色空间 舌诊客观化 

分 类 号：R541.4[医药卫生—心血管疾病]