单、双相抑郁患者特征性舌象分析研究  

Analysis of characteristic tongue manifestations in patients with unipolar and bipolar depression

作　　者：陈沛 郭雨萌 阎锴娟[1,2] 金鑫 张磊[1,2] 李静[1,2] 王贵山[1,2] 袁海宁[1,2] 王娣 杨杨[1,2] CHEN Pei;GUO Yumeng;YAN Kaijuan;JIN Xin;ZHANG Lei;LI Jing;WANG Guishan;YUAN Haining;WANG Di;YANG Yang(Beijing Key Laboratory of Mental Disorders,National Clinical Research Center for Mental Disorders&National Medical Center for Mental Disorders,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China;Advanced Innovation Center for Human Brain Protection,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京安定医院,国家精神疾病医学中心,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京100088 [2]人脑保护高精尖创新中心,首都医科大学,北京100069

出　　处：《湖南中医药大学学报》2024年第12期2222-2226,共5页Journal of Hunan University of Chinese Medicine

基　　金：北京市属医院科研培育计划项目(PZ2021031,PZ2022032);首都卫生发展科研专项青年优才项目(首发2022-4-2126)。

摘　　要：目的对单、双相抑郁患者的舌象进行观察分析及特征规律总结。方法纳入2022年4月至2023年3月于首都医科大学附属北京安定医院精神科住院的单相抑郁患者108例(单相抑郁组)、双相抑郁患者120例(双相抑郁组)。对患者进行人口学资料及临床基本信息采集。同时,采集患者的舌象信息。从舌色、舌形、苔色、苔质等角度,对比分析两组患者舌象的特征,并进行特征性规律总结。结果舌色方面,两组患者分布差异无统计学意义(P>0.05)。舌形方面,与单相抑郁组患者比较,双相抑郁组患者胖大舌比例更低(P<0.05),裂纹舌的比例更高(P<0.05)。舌苔方面,与单相抑郁组患者比较,双相抑郁组患者正常的薄苔、润苔较少(P<0.05),而黄苔、腻苔比例更高(P<0.05)。结论从舌象看,单相抑郁患者气虚、阳虚更突出,双相抑郁患者阴虚、痰热之象更显著。Objective To observe and analyze the tongue manifestations of patients with unipolar and bipolar depression and to summarize the characteristic patterns.Methods A total of 108 patients with unipolar depression(unipolar depression group)and 120 patients with bipolar depression(bipolar depression group)hospitalized in the Psychiatry Department of Beijing Anding Hospital,Capital Medical University,from April 2022 to March 2023 were included.Demographic data and basic clinical information of patients were collected.Simultaneously,the patients'tongue manifestation information was also collected.The characteristics of tongue manifestations were compared and analyzed between the two groups from the perspectives of tongue body color,tongue shape,tongue coating color,and tongue coating texture,and the characteristic patterns were summarized.Results Regarding tongue body color,there was no statistical difference between the two groups(P>0.05).As to the tongue shape,compared with the unipolar depression group,the bipolar depression group had a lower proportion of enlarged tongue(P<0.05)and a higher proportion of fissured tongue(P<0.05).Concerning tongue coating,compared with the unipolar depression group,the bipolar depression group had fewe normal thin and moist coatings(P<0.05),but a higher proportion of yellow and greasy coatings(P<0.05).Conclusion Based on the tongue manifestations,qi deficiency and yang deficiency are more prominent in patients with unipolar depression,while yin deficiency and phlegm-heat are more prominent in patients with bipolar depression.

关 键 词：抑郁症 双相情感障碍 单相抑郁 双相抑郁 舌象 

分 类 号：R277[医药卫生—中医学]