紫暗舌与心肌梗死患者预后关系的研究  

Relationship between dark purple tongue and prognosis of patients with myocardial infarction

作　　者：王铭[1] 苗立夫 张瑞麟[3] 刘云宝 陈连凤[4] 雷燕[1] 

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]清华大学第一附属医院心脏中心 [3]中国中医科学院望京医院 [4]北京协和医院心内科实验室

出　　处：《北京中医药大学学报》2012年第7期494-496,504,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.30973828);国家基础研究发展计划(973计划)项目(No.2007CB507400);中国中医科学院自主选题项目(No.Z02151)

摘　　要：目的探讨紫暗舌与心肌梗死患者预后的相关性。方法运用"中医舌诊图像专家智能分析系统(TY-SX3)"进行紫暗舌的鉴定,心梗后稳定期连续7 d出现紫暗舌的患者被纳入紫暗舌组(63例),连续7 d均为非紫暗舌的纳入非紫暗舌组(65例),并检测入选病例的心血管预后指标脑钠肽(BNP)和心率震荡(HRT),进行相关性分析。结果紫暗舌患者的BNP水平明显高于非紫暗舌患者(P<0.05);而紫暗舌患者的HRT明显减弱,与非紫暗舌患者有显著差异(P<0.05)。结论紫暗舌对心肌梗死患者的心血管预后可能具有一定的预测价值。Objective To investigate the correlation between dark purple tongue and prognosis of patients with myocardial infarction. Methods The dark purple tongue was identified by applying expert intelligent analysis system of TCM tongue imaging （ TY-SX3 ）. The patients （ n = 63 ） with dark purple tongue at the stable stage for 7 days after myocardial infarction were enrolled in dark purple tongue group, and those （ n = 65 ） without dark purple tongue for 7 days were enrolled in non-dark purple tongue group. The level of brain natriuretic peptide （BNP） and heart rate turbulence （HRT） were detected and the correlation between them and patient＇s prognosis was analyzed. Results The level of BNP was significantly higher in dark purple tongue group than that in non-dark purple tongue group （ P 〈 0.05 ）. HRT attenuated significantly in dark purple tongue group than that in non-dark purple tongue group （P 〈 0. 05 ）. Conclusion Dark purple tongue has a certain predictive value to the prognosis in the patients with myocardial infarction.

关 键 词：紫暗舌 脑钠肽 心率震荡 心肌梗死 

分 类 号：R241.25[医药卫生—中医诊断学]