高血压病患者中医证型与舌下络脉特征相关性研究  

Study on the Correlation between TCM Syndromes and Characteristics of Sublingual Collaterals in Hypertensive Patients

作　　者：吕雪芳 蒋冬梅[2] 董昌武[3] LYU Xuefang;JIANG Dongmei;DONG Changwu(College of Traditional Chinese Medicine,Anhui University of Chinese Medicine,Hefei 230038,China;College of Electronic Information Engineering,Anhui Institute of Water Conservancy and Hydroelectricity Vocational and Technical College,Hefei 231603,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学中医学院,安徽合肥230038 [2]安徽水利水电职业技术学院电子信息工程学院,安徽合肥231603 [3]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《中国中医药信息杂志》2025年第1期140-145,共6页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家自然科学基金(82174277);安徽省重点研究与开发计划项目(2022h11020018);安徽高校省级自然科学研究重点资助项目(2022AH052293);安徽省科技重大专项(202303a07020008)。

摘　　要：目的基于图像数据观察高血压病患者的舌下络脉特征,及中医证型与舌下络脉特征的相关性。方法选取2022年10月-2024年4月安徽3家医院高血压病患者303例,按照证型分为肝火亢盛证、阴虚阳亢证、痰瘀互结证和阴阳两虚证。使用智能手机采集患者舌下络脉图像,采用中医舌诊AI开放平台以计算机视觉与人工判读相结合的方法获取舌下络脉的颜色、长度、宽径、迂曲程度和兼见表现,及舌下络脉颜色HSV、Lab等特征指标,分析中医证型与舌下络脉特征的相关性。结果不同证型舌下络脉的颜色、长度、宽径、迂曲程度和兼见表现,差异均有统计学意义,痰瘀互结证V、Lab-L、Lab-a、Lab-b值显著低于其他证型;阴阳两虚证S值显著低于其他证型(P<0.05)。相关性分析显示,不同证型高血压病患者舌下络脉颜色与其参数S、V、Lab-L、Lab-a、Lab-b值呈负相关(P<0.05),痰瘀互结证舌下络脉瘀滞程度相对高于其他证型。结论高血压病不同证型患者的舌下络脉之间存在各异的颜色、长度、宽径、迂曲程度和兼见表现,舌下络脉颜色与其特征参数密切相关。舌下络脉客观化指标对高血压病反应灵敏,与中医学理论及临床结论基本一致,可作为疾病辨证施治的依据。Objective To observe the characteristics of sublingual collaterals of patients with hypertension and the correlation between TCM syndromes and characteristics of sublingual collaterals based on image data.Methods Totally 303 patients with hypertension were selected from three hospitals in Anhui Province from October 2022 to April 2024,and were divided into liver fire hyperactivity syndrome,yin deficiency and yang hyperactivity syndrome,phlegm and blood stasis syndrome,and yin yang deficiency syndrome according to the syndromes.The patients’sublingual collateral images were captured using smartphones,and the AI open platform system for TCM tongue diagnosis was used to obtain the color,length,width,tortuous degree and concurrent manifestations of the sublingual collaterals,as well as the characteristic indexes,such as color HSV,Lab value,etc.of sublingual collaterals,using a combination of computer vision and manual interpretation,so as to analyze the correlation between the TCM syndromes and the characteristics of the sublingual collaterals.Results The color,length,width,tortuous degree and concurrent manifestations of sublingual collaterals in different syndrome types were statistically significant.The values of V,Lab-L,Lab-a and Lab-b in the phlegm and blood stasis syndrome were significantly lower than those in other syndrome types.The S value of yin-yang deficiency syndrome was significantly lower than that of other syndromes(P<0.05).Correlation analysis showed that the color of sublingual collaterals was negatively correlated with the values of S,V,Lab-L,Lab-a and Lab-b of patients with different syndrome types(P<0.05).The degree of stasis of sublingual collaterals in the phlegm and blood stasis syndrome was higher than that in other groups.Conclusion There are differences in color,length,width,tortuous degree and concurrent manifestations among the sublingual collaterals of patients with hypertension,and there is close correlation between the color of sublingual collaterals and its parameters.The objective

关 键 词：舌下络脉 高血压病 证型 客观化 参数 相关性 

分 类 号：R2-03[医药卫生—中医学] R259.441