炎症性肠病患者中医舌象特征分析  

Exploration of Traditional Chinese Medicine tongue features in patients with inflammatory bowel disease

作　　者：陈立基 马燕颜 黄佩娣 张北平 CHEN Liji;MA Yanyan;HUANG Peidi;ZHANG Beiping(The Second Clinical College of Guangzhou University of Chinese Medicine,Guangzhou,510405,China;Department of Gastroenterology, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine)

机构地区：[1]广州中医药大学第二临床医学院,广州510405 [2]广州中医药大学第二附属医院脾胃病科

出　　处：《中国中西医结合消化杂志》2024年第1期56-59,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：省部共建中医湿证国家重点实验室专项(No:SZ2021ZZ2701)-人工智能舌苔图像采集与识别研究(No:B67016)和舌苔微观生物学的研究(No:B67017)。

摘　　要：目的:探讨炎症性肠病患者中医舌象特征,为中医药治疗炎症性肠病提供参考依据。方法:纳入广州中医药大学第二附属医院2022年3-12月行结直肠镜检查的27例炎症性肠病患者(炎症性肠病组)及同期25例健康人(正常对照组)为研究对象,采集舌象,并分析其在分布上的差异。结果:炎症性肠病组和正常对照组在舌色及苔色的比较上,差异无统计学意义(P>0.05)。炎症性肠病组患者正常舌形的占比低于正常对照组,差异有统计学意义(P<0.05),齿痕舌、腻苔的占比显著高于正常对照组,差异有统计学意义(P<0.05)。亚组分析中,溃疡性结肠炎组和克罗恩病组在舌象的比较上,差异无统计学意义(P>0.05)。结论:炎症性肠病患者的舌象多见齿痕、腻苔,这些特征与脾虚、湿盛有一定的关系。Objective:To investigate the characteristics of Traditional Chinese Medicine tongue features in patients with inflammatory bowel disease(IBD),and to provide a reference basis for the treatment of IBD by Traditional Chinese Medicine.Methods:From March to December 2022,the patients who underwent colonoscopy were recruited from the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,including 27 IBD patients(the IBD group) and 25 healthy individuals(the normal control group).We collected their tongue features and analyzed the differences in their distribution.Results:There was no statistically significant difference between the inflammatory bowel disease group and the normal control group in the comparison of tongue color and coating color(P>0.05).Compared with the normal control group,the IBD group had a lower percentage of normal tongue shape(P<0.05) and a higher percentage of toothed tongue and greasy coating(P<0.05).In the subgroup analysis,there was no statistically significant difference between the ulcerative colitis group and the Crohn's disease group in the comparison of tongue features(P>0.05).Conclusion:Compared with the normal control group,the tongue of IBD patients tends to show teethed tongue and greasy moss,features that are related to spleen deficiency and dampness.

关 键 词：炎症性肠病 溃疡性结肠炎 克罗恩病 舌象 

分 类 号：R574.62[医药卫生—消化系统]