脑疲劳的舌象临床研究  

Clinical study of brain fatigue of tongue picture

作　　者：李乃民[1] 李仕维[2] 刘珊[1] 王春燕 崔振超 

机构地区：[1]哈尔滨解放军第211医院,黑龙江哈尔滨150080 [2]上海交通大学医学院,上海200023 [3]北京总后勤装备研究所门诊部,北京100010 [4]哈尔滨工业大学生物计算研究中心,黑龙江哈尔滨150001

出　　处：《时珍国医国药》2014年第10期2424-2426,共3页Lishizhen Medicine and Materia Medica Research

基　　金：国家自然科学基金(No.61271093;61271345)

摘　　要：目的获得脑疲劳病症可重复性舌象表现,用以诊断脑疲劳。方法应用TLAG型舌象仪加专家知识系统和计算机舌象特征分别提取分析和舌象微循环,舌表面结构观察,对874例诊断明确的脑疲劳患者进行系统的舌象观察分析。结果脑疲劳组舌少神和失神为100%,舌乳头有病理改变为100%,舌纹变化为75.74%,舌形变化为58.55%,舌尖微循环观察,微血管形态迂曲等异常出现率为70%,血流瘀滞为66.66%。舌表面结构观察:舌乳头异常为100%,生理纹增宽为63.33%。对照组舌色变化为100%,舌苔变化为71%,舌形变化为68%,舌神变化为39%。结论脑疲劳舌象变化有较独特变化规律:舌神、舌乳头为主,舌纹、舌形次之,与对照组比较差异明显(P<0.01)。Objective To acquire the brain fatigue symptoms reproducibility of tongue manifestation used in the diagnosis of brain fatigue. Methods Application of TLAG type tongue instrument with expert knowledge system and computer tongue features were extracted from the analysis and tongue microcirculation,observation of surface structure of tongue according to the diagnosed brain fatigue in 874 patients with systematic observation and analysis of tongue picture. Results Brain fatigue group tongue less spirit and non-spirit was 100%,pathological change in papillae of tongue was 100%,tongue texture change was 75. 74% and tongue shape change was 58. 55%. With the observation of tongue tip microcirculation,abnormal capillary form rate was 70%,blood stasis rate was 66. 66%. With the surface structure observation of tongue,abnormal papillae of tongue was 100%,widening physiological pattern was 63. 33%. The tongue color change in reference group was 100%,the tongue coating change was 71%,the tongue shape change was 68% and the tongue spirit change was 39%. Conclusion Brain fatigue change of tongue picture has a unique variation law： The tongue spirit and tongue papillae are the first,the tongue picture and tongue shape are the second.Compared with the reference group,the differences are obvious.P〈0. 01.

关 键 词：舌象 舌诊 脑疲劳舌角 舌计算机研究 舌尖微循环 

分 类 号：R241.25[医药卫生—中医诊断学]