健康体检人群暗红舌与代谢指标的相关性研究  

Correlation of dark red tongue and metabolic parameters in health checkup population

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

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

出　　处：《中华健康管理学杂志》2016年第2期121-125,共5页Chinese Journal of Health Management

基　　金：国家重点基础研究发展计划（973计划）（2011CB505404）;中国健康促进基金会健康管理研究所科研项目

摘　　要：目的比较体检者中舌色暗红与淡红者的代谢相关指标，及不同苔质、苔色、舌形的暗红舌者的代谢指标，明确暗红舌与人体代谢状态的关系。方法2013年12月至2014年8月首都医科大学附属北京同仁医院健康体检者2891人，纳人体检指标的有体重、身高、血压、血糖、血脂及尿酸。由中医师观察舌象，比较暗红舌组与淡红舌组的代谢指标，并对暗红舌组的不同舌象表现进行深入分，析。结果暗红舌组中男性和女性所占比例分别为61．58％和38．42％，男性出现暗红舌的比率较高（P〈0．01）；暗红舌体检人群的代谢指标，包括体质指数[（24．70±3．49）kg/m2]、收缩压（117±14）mmHg（1mmHg=0．133kPa）、舒张压（76±10）mmHg、空腹血糖（5．52±1．37）mmol／L、总胆固醇（4．81±0．89）mmol/L、三酰甘油（1．59±1．44）mmol/L、低密度脂蛋白胆固醇（2．94±0．89）mmol／L、血尿酸（320．27±84．79）μmol／L的平均水平均高于淡红舌组[（22．98±3．32）kg／m2、（113±14）mmHg、（73±10）mmHg、（5．20±0．76）mmol/L、（4．61±0．g7）mmol/L、（1．14±0．98）mmol/L、（2．68±0．87）mmol／L、（287．02±74．15）μmol／L]（P〈0．01），暗红舌组的高密度脂蛋白胆固醇[（1．29±0．35）mmol／L]低于淡红舌组[（1．42±0．36）mmol／L]（P〈0．01）；暗红舌并见厚腻苔或苔色黄时，体质指数、空腹血糖、总胆固醇、三酰甘油、血尿酸的水平高于舌苔正常的暗红舌体检者，高密度脂蛋白胆固醇的水平低于舌苔正常的暗红舌体检者。结论暗红舌同代谢指标异常间存在同质关系，可能是代谢异常的外在表现；舌象是人体健康状态的宏观外在表现，同现代医学的微观认识间存在一致性。Objective To study the metabolic parameters in health checkup people with dark red tongue and light red tongue, with different coating nature, coating color or liguliform, to understand the relationship between dark red tongue and human metabolic state. Methods Clinical data of 2 891 individuals who underwent health checkup in our center between Dec. 2013 and Aug. 2014 were collected, including body mass index, blood pressure, blood glucose, lipid and uric acid. Tongue diagnosis was made by Chinese Medicine practitioners. Results The dark red tongue was more common in males, it was found in 61.58% males and 38.42% females in the dark red tongue group. The average level including body mass index, systolic blood pressure, diastolic blood pressure, blood glucose, total cholesterol, triglyceride, low-density lipoprotein cholesterol and blood uric acid in dark red tongue group were higher than those in light red tongue group （P〈0.01）. When the dark red tongue had yellow fur-like or thick and greasy coat, the average level of body mass index, blood glucose, total cholesterol , low-density lipoprotein cholesterol and blood uric acid were higher than those of the normal dark red tongue group, the level of high-density lipoprotein cholesterol was lower than that of the normal dark red tongue group. Conclusions Dark red tongue has homogeneous relations with abnormal metabolic parameters, it may be the external expression of metabolic abnormalities; tongue is the external macro manifestation of human body health state.

关 键 词：医学 中国传统 脂类代谢 暗红舌 

分 类 号：R194.3[医药卫生—卫生事业管理]