不同恶性肿瘤患者舌下络脉特征的临床观察分析  

Clinical Observation and Analysis of Sublingual Veins Characteristicsin Patients with Malignant Tumors

作　　者：王立娟[1] 钱鹏[1] 徐鸽[1] 韩柯柯 徐莹[1] 张伟妃 张瑞义[1] 李福凤[1] WANG Lijuan;QIAN Peng;XU Ge;HAN Keke;XU Ying;ZHANG Weifei;ZHANG Ruiyi;LI Fufeng(School of Chinese Medicine,Shanghai University of Chinese Medicine,Shanghai 201203;Dinghai Community Health Service Center of Yangpu District,Shanghai 200090;School of Acupuncture-Moxibustion and Tuina,Shanghai University of Chinese Medicine,Shanghai 201203)

机构地区：[1]上海中医药大学中医学院,上海201203 [2]上海市杨浦区定海社区卫生服务中心,上海200090 [3]上海中医药大学针灸推拿学院,上海201203

出　　处：《中国中医药科技》2024年第1期1-5,共5页Chinese Journal of Traditional Medical Science and Technology

基　　金：国家重点研发计划中医药现代化研究重点专项-课题2(2018YFC1707602);国家自然科学基金项目(81774205);上海中医药大学预算内项目(18TS083);上海中医药大学杏林青年学者培养资助计划。

摘　　要：目的:分析不同系统恶性肿瘤患者舌下络脉特征。方法:通过用舌下络脉采集装置收集217例恶性肿瘤患者和162例非肿瘤患者的舌下络脉图像,采用舌下络脉观察表从舌下络脉长度、宽度、颜色、形态及瘀斑瘀点5个方面进行人工判读,分析肿瘤组与非肿瘤组组间、不同系统肿瘤组间舌下络脉量化积分及各特征分级程度的差异。结果:肿瘤组舌下络脉积分明显高于非肿瘤组,差异有显著统计学意义(P<0.01),肿瘤组舌下络脉积分≤5分(正常)的占比(24.9%)明显低于非肿瘤组的占比(38.3%),≥10分(重度)的占比(22.1%)明显高于非肿瘤组的占比(13.0%)(P<0.05)。肿瘤组舌下络脉宽度、颜色、形态、瘀斑瘀点等特征与非肿瘤组相比,有显著性差异(P<0.05)。呼吸系统恶性肿瘤87.2%舌下络脉超过舌下肉阜与舌尖连线的3/5,消化和呼吸系统恶性肿瘤舌下络脉偏宽,颜色多为青紫、蓝紫、紫黑,络脉多迂曲粗张,瘀斑瘀点也明显多于内分泌系统、妇科恶性肿瘤组。结论:肿瘤患者和非肿瘤患者舌下络脉特征有显著性差异,不同系统的恶性肿瘤舌下络脉特征有显著性差异,提示观察舌下络脉对恶性肿瘤的筛查和鉴别有一定参考价值。Objective:To study the characteristics of sublingual veins in patients with malignant tumors of different systems.Methods:The images of the sublingual veins of 217 patients with malignant tumors and 162 patients without tumors were collected by the sublingual veins acquisition device.The sublingual veins observation table including the length,width,color,shape and ecchymosis was used to manually interpret,to analyze the differences of the quantitative integration and the grading of sublingual veins characteristics between the tumor group and the non-tumor group,and among the different systems tumor groups.Results:The sublingual pulse score in the tumor group was significantly higher than that in the non-tumor group(P<0.01).The percentage of sublingual veins score≤5 in the tumor group was 24.9%,which was significantly lower than that in the non-tumor group(38.3%),and the percentage of sublingual veins score≥10 in the tumor group was 22.1%,which was significantly higher than that in the non-tumor group(13.0%)(P<0.05).The width,color,shape and ecchymosis of sublingual veins in tumor group were significantly different from those in non-tumor group(P<0.05).87.2%of the sublingual veins of the respiratory system malignant tumors were more than 3/5 of the line connecting the sublingual caruncle and the tip of the tongue.The sublingual veins of the digestive and respiratory system malignant tumors were wider,the colors were mostly cyan,blue purple and purple black.The sublingual veins were more tortuous and rough,and the ecchymosis were significantly more than those of the endocrine system and gynecological malignant tumors.Conclusion:The characteristics of sublingual veins between tumor patients and non-tumor patients,among the malignant tumors in different systems are significantly different,which suggests that the observation of sublingual veins has certain reference value for the screening and differentiation of malignant tumor.

关 键 词：络脉诊法 舌下络脉 恶性肿瘤 不同系统肿瘤 

分 类 号：R273[医药卫生—中西医结合]