肿瘤患者舌象特点及其影响因素  

Characteristics and Influential Factors of Tongue Presentations of Tumor Patients

作　　者：谌玉佳[1] 胡凯文[1] 

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《中医学报》2015年第3期309-312,共4页Acta Chinese Medicine

基　　金：北京中医药大学中西医结合肿瘤治疗协同创新中心项目(2013-XTCX-05)

摘　　要：目的:观察肿瘤患者舌象特点及影响舌象的因素。方法:选择2014年1月—2014年6月北京中医药大学附属东直门医院血液肿瘤科门诊就诊的患者507例,在自然光下观察患者舌色、舌形、舌苔(苔质和苔色)及舌下络脉。结果:1舌色:暗舌类(淡暗舌、暗红色、紫暗舌)所占比例平均为77.7%,暗舌数量与年龄成正比(P<0.01)。化疗组紫暗舌比例明显高于非化疗组(P<0.05)。2舌形:齿痕舌(55.2%),胖大舌(50.9%),化疗组胖大舌比例较非化疗组多(P=0.046<0.05)。裂纹者(40.0%),男性组裂纹(49.1%)多于女性(33.4%)(P<0.01)。裂纹舌比例与年龄成正比(P=0.006<0.05)。化疗组瘀斑舌较非化疗组增多(P=0.004<0.05)。女性点刺舌概率高于男性(P=0.03<0.05)。3舌下静脉:舌下静脉迂曲者(61.9%),年龄越大,舌下静脉迂曲所占比例越大(P=0.005)。4舌苔:薄白苔占比例平均为35.1%;白腻苔占33.5%;剥脱兼腻苔以胃癌多见(21.1%)。结论:暗舌、白腻苔、齿痕、胖大舌及舌下脉络迂曲占到了相当的比例,表明脾虚湿盛、痰凝血瘀为肿瘤患者的基本病机。提示临床用药应注重温补脾肾、祛湿化痰及活血化瘀药物的应用。Objective： To observe the tongue characteristics and influential factors in the patients with cancer. Methods： The patients（ n =507） were chosen from the Dongzhimen Hospital Outpatient department of Beijing University of Chinese Medicine from January,2014 to June,2014,were observed in natural light. Results： 1The color of tongue： dark tongue classes（ dark red tongue,pale dark tongue,dark purple tongue） account for a great proportion（ 78. 5% on average）,and the number of dark tongue is proportional to the age（ P〈0. 001）. 2Tongue： Tooth-marked tongue（ 55. 2%）,fat and big tongue（ 50. 9%）. The ratio of big fat tongue in chemotherapy group is higher than that of non-chemotherapy group. The fissured tongue（ 40. 0%）,the ratio in male group is higher than female group. Fissured tongue ratio is proportional to age. After chemotherapy the characteristics of tongue manifestation in patients with cancers,（ Purple Tongue（ P〈0. 05） and the ecchymosis on the tongue（ P〈0. 05））,is more obvious. The rate of prick tongue in female group is higher than the male. 3Sublingual vein： sublingual varices（ 61. 9%）,the ratio of sublingual varices is proportional to age. 4Tongue fur： the ratio of thin white coat account for an average of 35. 1%; white and greasy fur accounted for 33. 5%; stripping and greasy fur always can be seen in gastric cancer. Conclusion： Dark tongue,white and greasy fur,tooth-marked tongue,fat and big tongue and sublingual varices accounted for a considerable proportion. It suggests that dampness,phlegm and blood stasis is the basic pathogenesis of tumor patients.The doctor should know that tonifying the spleen and kidney,eliminating dampness,phlegm and blood stasis are important in clinical practice.

关 键 词：肿瘤 舌色 舌形 舌下静脉 舌苔 

分 类 号：R273[医药卫生—中西医结合]