基于舌诊及面诊信息特征的慢性萎缩性胃炎脾虚气滞证中医疗效评价  

Evaluation of TCM curative effect of spleen deficiency and qi stagnation syndrome of chronic atrophic gastritis based on tongue diagnosis and face diagnosis information characteristics

作　　者：杨帅[1] 王步轶 李福凤[4] 胡鸿毅[3] YANG Shuai;WANG Bu-yi;LI Fu-feng;HU Hong-yi(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海中医药大学附属龙华医院,上海200032 [3]上海中医药大学附属龙华医院脾胃病科医生办公室,上海200032 [4]上海中医药大学3号楼中医四诊数字化研究室,上海201203

出　　处：《中华中医药杂志》2021年第5期2957-2960,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划中医药现代化研究重点专项(No.2018YFC1707602);国家自然科学基金项目(No.81774205)。

摘　　要：目的:观察慢性萎缩性胃炎(CAG)脾虚气滞证患者中医治疗前后舌、面诊参数的变化规律,客观评价舌、面诊信息特征作为CAG中医疗效评价指标的可行性与有效性。方法:使用中医舌、面诊检测仪采集CAG患者中医药治疗前后的舌、面信息数据,统计分析其舌、面诊参数的变化趋势。结果:(1)与治疗前比较,患者治疗后面诊参数中嘴唇H值、I值显著升高(P<0.05),面部W值、Y值、面色指数、嘴唇S值、有光泽指数呈现升高趋势,面部R值呈现下降趋势;(2)与治疗前比较,患者治疗后舌诊色度参数中苔色R值、G值、B值与舌色R值、B值呈下降趋势,舌色G值呈上升趋势;舌诊特征参数中,腐腻、剥苔、老嫩、齿痕、裂纹、瘀斑特征值呈下降趋势,厚薄、点刺特征值呈上升趋势。结论:舌、面诊信息特征可以作为CAG脾虚气滞证中医疗效评价的有效指标,此为建立具有中医特色优势的临床疗效评价体系拓宽了新方向与思路。Objective:To observe the changes of tongue and face diagnosis parameters in patients with chronic atrophic gastritis(CAG)with spleen deficiency and qi stagnation syndrome before and after traditional Chinese medicine treatment,and to objectively evaluate the feasibility and effectiveness of tongue and face diagnosis information characteristics as CAG TCM curative effect evaluation indexes.Methods:Using TCM tongue and face diagnosis testing equipment to collect the tongue and face information data of CAG patients before and after TCM treatment,and analyze the change trend.Results:(1)Compared with the patients before treatment,the lip H value and I value in the facial parameters after treatment were significantly increased(P<0.05),and the facial W value,Y value,facial color index,lip S value and gloss index were increased,while the facial R value was decreased.(2)Compared with the patients before treatment,the tongue color R value,G value,B value and tongue color R value,B value showed a downward trend,the tongue color G value showed an upward trend;In the characteristic parameters of tongue diagnosis,the characteristic values of greasy,peeling,tender,tooth marks,cracks and ecchymosis after treatment showed a downward trend,and the characteristic values of thickness and prick showed an upward trend.Conclusion:The characteristics of tongue and facial information can be used as effective indicators for the evaluation of TCM efficacy of CAG with spleen deficiency and qi stagnation,which broadens the new direction and ideas for the establishment of clinical efficacy evaluation system with the advantages of TCM characteristics.

关 键 词：舌诊 面诊 慢性萎缩性胃炎 中医疗效评价 信息特征 脾虚气滞证 

分 类 号：R259[医药卫生—中西医结合]