346例子宫内膜息肉患者舌、脉、证特征分析及与年龄的相关性研究  

An Analysis of the Characteristics of Tongue,Pulse and TCM Syndrome in 346 Patients with Endometrial Polyps and the Correlation with Age

作　　者：游瑾渝 刘君 滕秀香[2] YOU Jinyu;LIU Jun;TENG Xiuxiang(Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《中医药导报》2024年第6期70-73,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：首都卫生发展科研专项(首发2022-2-2233)。

摘　　要：目的:分析子宫内膜息肉(EPs)患者舌、脉、证分布的特点及其与年龄相关性。方法:收集346例行EPs切除术术后病理确诊为EPs的患者年龄及舌象、脉象、证型等信息资料进行回顾性分析。结果:346例患者整体舌质以舌色淡舌体胖、苔白腻为主;脉象以脉弦、脉沉弱为多;脾肾两虚证是EPs主要证型。舌色淡舌体胖、舌色红舌体瘦、苔白腻、苔干少、脉细数、脉沉弱、脾肾两虚证、阴虚证有随年龄增长占比增加趋势(P<0.05);青中年女性组“舌色淡红舌体适中”“苔薄白”“脉弦”舌、脉特征占比较多(P<0.05)。结论:EPs患者舌、脉、证与年龄具有相关性。青中年女性多表现为舌红苔薄白脉弦,肝郁证较多;随年龄增长,舌淡胖、舌红瘦、苔干少、脉细数、脉沉弱表现逐渐增加,以脾肾两虚、阴虚为主。Objective:To analyze the characteristics of tongue,pulse,and syndrome distribution in patients with endometrial polyps(EPs)and their correlation with age.Methods:A retrospective analysis was conducted on the age,tongue,pulse,and syndrome types of 346 patients who were pathologically diagnosed with EPs after EPs resection.Results:The overall tongue quality of 346 patients was mainly characterized by light tongue color,fat tongue body,and white and greasy coating.The pulse pattern is mostly characterized by stringy pulse and weak pulse.Spleen and kidney deficiency syndrome is the main syndrome type of EPs.The proportion of pale tongue color,fat tongue body,red tongue color,thin tongue body,white and greasy coating,dry and less tongue coating,thready and rapid pulse,thin and weak pulse,spleen kidney deficiency syndrome,and yin deficiency syndrome increases with age(P<0.05).The characteristics of the tongue and pulse were more common in the young and middle-aged female group,which were characterized by a light red tongue color,moderate tongue body,thin and white coating,and narrow pulse(P<0.05).Conclusion:There is a correlation between tongue,pulse,syndrome and age in patients with EPs.Young and middle-aged women often exhibit red tongue coating,thin white pulse string,and more liver depression syndrome.As age increases,the symptoms of pale and plump tongue,red and thin tongue,less moss,thin and weak pulse gradually increase,with spleen and kidney deficiency and yin deficiency being the main symptoms.

关 键 词：子宫内膜息肉 舌象 脉象 中医证候 

分 类 号：R241[医药卫生—中医诊断学]