246例2型糖尿病患者舌下络脉征象与中医辨证分型的相关性研究  

Correlation Between Sublingual Collateral Signs and TCM Syndrome Differentiation in 246 Patients with Type 2 Diabetes

作　　者：张淼 黄蓉 汪蓉 彭强 宋丽培[3] 陈瑞扬 刘晨路 ZHANG Miao;HUANG Rong;WANG Rong;PENG Qiang;SONG Lipei;CHEN Ruiyang;LIU Chenlu(Tianjin Stomatological Hospital/School of Medicine,Nankai University,Tianjin 300041,China;Tianjin Key Laboratory of Oral Function Reconstruction,Tianjin 300041,China;Institute of Modern Optics,School of Electronic Information,Nankai University,Tianjin 300350,China)

机构地区：[1]天津市口腔医院/南开大学医学院,天津300041 [2]天津市口腔功能重建重点实验室,天津300041 [3]南开大学电子信息学院现代光学研究所,天津300350

出　　处：《现代中医药》2023年第5期85-91,共7页Modern Chinese Medicine

基　　金：天津市医学重点学科(专科)建设项目资助(TJYXZDXK-048A);天津市卫生健康委员会中医中西医结合科研课题(2019123)。

摘　　要：目的研究2型糖尿病患者舌下络脉的络色、长度、充盈度、曲张度、兼见表现的特征,探讨2型糖尿病患者不同证型舌下络脉征象的特点及相关性。方法随机选取符合2型糖尿病诊断标准的246例患者,运用数码相机采集患者的舌下络脉图像,进行统计学分析。结果2型糖尿病不同证型患者在络色、长度、充盈度、曲张度及兼见表现方面具有显著性差异(P<0.05);肝郁气滞证与脾胃郁滞证之间的络色、长度、曲张度差异具有显著的统计学差异(P<0.05),血瘀水停证与血瘀脉络证之间的络色、长度、充盈度、曲张度差异具有显著的统计学差异(P<0.05)。结论2型糖尿病患者不同证型的舌下络脉之间存在着不同的络色、长度、充盈度、曲张度、兼见表现特点与相关性。Objective To study the characteristics of color,length,filling degree,curvature and concurrent manifestation of sublingual collaterals in type 2 diabetes patients,and to explore the characteristics and correlation of sublingual collaterals in type 2 diabetes patients with different syndromes.Methods 246 patients who met the diagnostic criteria of type 2 diabetes were randomly selected,and the images of sublingual collaterals were collected by digital camera,and then were statistically analyzed.Results There were significant differences in color,length,fullness,curvature and concurrent manifestations of type 2 diabetes patients with different syndromes(P<0.05);There is a significant statistical difference(P<0.05)in the color,length,and curvature of the collaterals between the liver depression Qi stagnation syndrome and the spleen stomach stagnation syndrome,while there is a significant statistical difference(P<0.05)in the color,length,filling,and curvature of the collaterals between the blood stasis water stagnation syndrome and the blood stasis in meridian syndrome.Conclusion The sublingual collaterals of type 2 diabetes patients with different syndromes have different characteristics and correlations in color,length,filling degree,curvature,and concurrent manifestations.

关 键 词：2型糖尿病 中医辨证分型 舌下络脉 相关性研究 舌诊 

分 类 号：R255.4[医药卫生—中医内科学]