肝硬化患者中医面部脏腑分区HSV色诊的研究  

The color of traditional Chinese medicine diagnosis in patients with liver cirrhosis

作　　者：吉杉 汪晓军[2] 

机构地区：[1]首都医科大学附属北京佑安医院感染科,100069 [2]首都医科大学附属北京佑安医院肝病与肿瘤生物治疗科,100069

出　　处：《北京医学》2016年第9期945-947,共3页Beijing Medical Journal

基　　金：国家科技重大专项(2012ZX10005010-002);北京市卫生系统高层次卫生技术人才专项(2013-3-076)

摘　　要：目的探讨健康人、肝硬化代偿期及失代偿期患者面部区位点的色度值及关系。方法应用DS-01A中医四诊仪实测肝硬化代偿期患者198例,肝硬化失代偿期患者164例,健康人134例,检测受试者面部整体、额区、鼻区、唇区、左右脸颊区、眼区各部位的HSV值[H(色度)、S(鲜艳度)、V(明度)],对所得数据进行比较分析。结果健康人群和肝硬化(代偿期、失代偿期)患者面部色部区位点色度值的差异有统计学意义(P<0.05)。肝硬化患者面部整体、颊区、眼区区位点H值、V值较健康人群低。肝硬化失代偿期患者面部整体、颊区、眼区区位点S值较代偿期患者高。结论健康人群和肝硬化患者不同脏腑面部色部区位点色度值有明显差异。肝硬化患者颊区、眼区及面部整体的颜色较健康人晦暗,且失代偿期患者较代偿期患者面色更晦暗。Objective To study the chromaticity values of facial region point of healthy people, patients with liver cirrhosis during compensation period and decompensation period by using of traditional Chinese medicine facial viscera partition method. Methods A total of 198 cases with compensated liver cirrhosis, 164 cases with decompensated liver cirrhosis, and 134 cases of healthy people. The HSV values of the full face, frontal area, nose, lips, right and left cheeks ar- ea, each part of the eye area of all the patients were measured. Resluts There were significant differences between healthy people and the patients with liver cirrhosis （compensation period and decompensation period） in the chromaticity values of facial region points. The H value, V value on cirrhosis cheek, eyes and full face in patients with liver cirrhosis were lower than healthy people. The value of S （brilliance） of the buccal area, the eye area and full face of patients with decompensated liver cirrhosis was higher than compensatory period. Conclusion The cheek＇ s, eye＇ s and facial color of patients with cirrhosis is darker than healthy people, and with the degree of liver cirrhosis, certain parts of the color will gradually deepen. The color of cheek area, the whole eye area and face in patients with liver cirrhosis is more gloomy than healthy people, the facial lightness of the patients with liver cirrhosis during decompensation phase is more gloomy than the patients during compensatory phase.

关 键 词：肝硬化 脏腑分区 中医色诊 

分 类 号：R575.2[医药卫生—消化系统]