骨科大手术后舌苔苔质特征研究  

A clinical study of characteristics of tongue fur after orthopedic major operation

作　　者：范梦强 黄杰烽[2] 丁权威 李婷[1] 刘魏[1] 童培建[2] FAN Mengqiang;HUANG Jiefeng;DING Quanwei;LI Ting;LIU Wei;TONG Peijian(Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,Zhejiang,China;Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江省中医院,浙江杭州310006

出　　处：《中医正骨》2018年第10期45-48,53,共5页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨骨科大手术后患者的舌苔苔质特征。方法:以2016年10月至2018年2月在浙江省中医院住院接受骨科大手术(股骨颈骨折手术、股骨转子间骨折手术、股骨转子下骨折手术、股骨干骨折手术、脊柱开放性手术及人工髋、膝关节置换手术)的324例患者为研究对象。分别于手术后第1、3、7天拍摄患者的舌体照片,判断其舌苔苔质类型。结果:324例患者术后第1、3、7天出现的舌苔苔质包括腻苔、厚苔、薄苔、剥苔4种类型,腻苔522次、薄苔328次、剥苔86次、厚苔36次。18~39岁、40~59岁、60~79岁、≥80岁4个年龄段的舌苔苔质类型比较,差异有统计学意义(χ~2=0. 030,P=0. 000),其中18~39岁、40~59岁及60~79岁患者的舌苔苔质均以腻苔、薄苔为主,≥80岁患者的舌苔苔质以剥苔为主。术后第1、3、7天的舌苔苔质类型比较,差异无统计学意义(χ~2=1. 413,P=0. 965),均以腻苔、薄苔为主。各年龄段患者中,术后第1、3、7天的舌苔苔质类型比较,差异均无统计学意义(χ~2=0. 572,P=0. 986;χ~2=0. 399,P=0. 989;χ~2=0. 575,P=0. 997;χ~2=1. 605,P=0. 808),其中18~39岁、40~59岁及60~79岁患者术后第1、3、7天的舌苔苔质均以腻苔、薄苔为主,≥80岁患者术后第1、3、7天的舌苔苔质均以剥苔为主。结论:骨科大手术后,患者的舌苔苔质总体上以腻苔、薄苔为主;<80岁患者的舌苔苔质以腻苔、薄苔为主,≥80岁患者的舌苔苔质以剥苔为主;术后不同时间患者的舌苔苔质类型没有明显差异。Objective:To explore the characteristics of tongue fur of patients after orthopedic major operation.Methods:Three hundred and twenty-four patients who received orthopedic major operations including femoral neck fracture surgery,femoral intertrochanteric fracture surgery,femoral subtrochanteric fracture surgery,femoral shaft fracture surgery,spinal open surgery and artificial hip/knee replacement in Zhejiang Provincial Hospital of Traditional Chinese Medicine from October 2016 to February 2018 were selected as the subjects.The photos of patients’tongue body were taken on the 1st,3rd and 7th day after the operation,and the types of tongue fur were determined.Results:The greasy tongue fur(522 times),thick tongue fur(36 times),thin tongue fur(328 times)and tongue without fur(86 times)were found in 324 patients on the 1st,3rd and 7th day after the operation.There was statistical difference in the types of tongue fur between patients aged 18-39 years,40-59 years,60-79 years and≥80 years(χ2=0.030,P=0.000).The greasy tongue fur and thin tongue fur were mainly found in patients aged 18-39 years,40-59 years and 60-79 years;and the tongue without fur was mainly found in patients≥80 years old.There was no statistical difference in the types of tongue fur between postoperative day 1,3 and 7(χ2=1.413,P=0.965),and the patients were mainly characteristized by greasy tongue fur and thin tongue fur.There was no statistical difference in the types of tongue fur of patients of each age group between postoperative day 1,3 and 7(χ2=0.572,P=0.986;χ2=0.399,P=0.989;χ2=0.575,P=0.997;χ2=1.605,P=0.808).The greasy tongue fur and thin tongue fur were mainly found in patients aged 18-39 years,40-59 years and 60-79 years,and the tongue without fur was mainly found in patients aged≥80 years on the 1st,3rd and 7th day after the operation.Conclusion:After the orthopedic major operation,the tongue fur of patients were mainly greasy tongue fur and thin tongue fur in general.The tongue fur of patients<80 years old were mainly greasy ton

关 键 词：舌诊 舌苔 骨科大手术 

分 类 号：R274.9[医药卫生—中西医结合]