体质指数与舌象特征的相关性研究  

A correlation study between body mass index and features of tongue manifestation

作　　者：李丹溪[1] 梁嵘[1] 陈东宁[2] 王召平[2] 王盛花[2] 姚叙莹[1] 田丁[1] 

机构地区：[1]北京中医药大学中医诊断系,北京100029 [2]首都医科大学附属北京同仁医院体检中心,北京100730

出　　处：《国际中医中药杂志》2016年第1期20-24,共5页International Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划（973计划）（2011CB505402、2011CB505404）;北京中医药大学自主选题资助项目（2014-JYBZZ-XS-023）

摘　　要：目的探讨BMI与舌象特征的相关性。方法以1655名体检者为对象，测量身高和体重，计算BMI，并进行中医舌诊，数码相机拍摄舌象图。结果在1655名体检者中，体重正常、超重／肥胖和体重过低者分别为843人（50．94％）、724人（43．74％）和88人（5．32％）。超重／肥胖组黯红舌（37．98％比24．56％；χ^2=40．883，P〈0．001）、紫舌（5．94％比3．44％；χ^2=8．133，P=0．017）、紫黯舌（2．35％比0．59％；χ^2=10．398，P=0．006）、黄苔（63．95％比58．84％；χ^2=9．570，P=0．008）、厚腻苔（24．86％比17．20％；χ^2=18．698，P〈0．001）出现率显著高于体重正常组，剥脱／少苔／无苔出现率显著低于体重正常组（1．93％比3．91％；χ^2=6．454，P=0．040）。体重过低组红／绛舌（48．86％比24．72％；χ^2=24．608，P〈0．001）、红点舌（7．95％比1．93％；χ^2=12．254，P=0．002）、薄白苔（22．73％比9．53％；χ^2=14．030，P=0．001）出现率显著高于体重正常组。二元logistic回归分析显示，黯红舌（OR1．830，95％CI1．515-2．211；P〈0．001）、紫舌（OR1．874，95％CI1．211～2．901；P=0．005）、紫黯舌（OR4．259，95％CI1．610～11．266；P=0．003）、黄苔（OR1．294，95％CI1．093-1．531；P=0．003）、灰黑苔（OR6．147，95％CI1．816-20．811；P=0．004）、厚腻苔（OR1．597，95％CI1．289～1．978；P〈0．001）与BMI呈正相关，淡红舌（OR0．766，95％CI0．637～0．920；P=0．004）、红／绛舌（OR0．659，95％CI0．549-0．789；P〈0．001）、红点舌（OR0．548，95％CI0．326-0．921；P=0．023）、薄白苔（OR0．695，95％CI0．536-0．900；P=0．006）、白苔（OR0．821，95％CI0．6830．986；P=0．035）与BMI呈负相关。结论BMI与舌象特征具有一定相关性，超重／肥胖人群的异常舌色以黯红舌为主；体重过低组异常舌色以红／绛舌为主。舌苔�Objective To investigate the correlation between body mass index （BMI） and features of tongue manifestation. Methods A total of 1 655 physical examination individuals were selected, and height and body weight were measured to calculate BMI. Traditional Chinese Medicine tongue inspection was performed, and map of tongue manifestation was photographed by a digital camera. Results Among the 1 655 physical examination individuals, prevalences of normal weight, overweight/obesity and low weight were 50.94%, 43.74% and 5.32%, respectively. The prevalences of individuals had dark red tongue （37.98% vs. 24.56%; χ^2=40.883, P〈0.001）, purplish tongue （5.94% vs. 3.44%;χ^2=8.133, P=0.017）, dark purplish tongue （2.35% vs. 0.59%; χ^2=10.398, P=0.006）, yellow fur （63.95% vs. 58.84%; χ^2=9.570, P=0.008）, thick greasy fur （24.86% vs. 17.20%;χ^2=18.698, P〈0.001） in the overweight/obesity group were significantly higher than those in the normal weight group, and the prevalence of individuals had exfoliative fur/little fur/less fur in theoverweight/obesity group was significantly higher than that in the normal weight group （1.93% vs. 3.91%; χ^2=6.454, P=0.040）. The prevalences of individuals had red or deep red tongue （48.86% vs. 24.72%; χ^2=24.608, P〈0.001）, red dot tongue （7.95% vs. 1.93%; χ^2=12.254, P=0.002）, thin whitish fur （22.73% vs. 9.53%; χ^2=14.030, P=0.001） in the low weight group were significantly higher than those in the normal weight group. Binary logistic regression analysis showed positive correlation between dark red tongue （OR 1.830, 95% CI 1.515-2.211; P〈0.001）, purplish tongue （OR 1.874, 95% CI 1.211-2.901; P=0.005）, dark purplish tongue （OR 4.259, 95% CI 1.610-11.266; P=-0.003）, yellow fur （OR 1.294, 95% CI 1.093-1.531; P=0.003）, gray-black fur （OR 6.147, 95% CI 1.816-20.811; P=0.004）, thick greasy fur （OR 1.597, 95% CI 1.289-1.978; P〈0.001） and BMI, and negative correlation between pink tongue （OR 0.766, 95% CI 0.637-0.920; P

关 键 词：舌象异常 舌诊 体格检查 人体质量指数 

分 类 号：R241.25[医药卫生—中医诊断学]