高血压合并冠心病的客观化面象研究  

Objective Analysis of Tongue and Face Image Characteristics in Hypertension Combined with Coronary Heart Disease

作　　者：王楚皓 王晶 孟伟[2] 黄国亮[3] 张晓晴 WANG Chuhao;WANG Jing;MENG Wei;HUANG Guoliang;ZHANG Xiaoqing(School of Life Sciences,Beijing University of Chinese Medicine,Beijing 102446,China;Department of Cardiology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Biomedical Engineering,School of Medicine,Tsinghua University,Beijing 100084,China)

机构地区：[1]北京中医药大学生命科学学院,北京102446 [2]北京中医药大学东直门医院心内科,北京100700 [3]清华大学医学院生物医学工程系,北京100084

出　　处：《世界中医药》2024年第21期3234-3237,共4页World Chinese Medicine

基　　金：国家重点研发计划项目(2022YFC3502301,2022YFC3502300);国家中医药管理局高水平中医药重点学科中医生命科学学科建设项目(zyyzdxk-2023263)。

摘　　要：目的:探究高血压合并冠心病患者较单纯高血压患者和健康人的面诊客观化特征差异。方法:采用道生DS01-B面诊仪采集分析高血压组、高血压合并冠心病组、健康组面图像。结果:与健康人比较,高血压组和高血压合并冠心病组面色R值、G值、B值、H值、V值、L值降低,S、a值增加(P<0.01)。与高血压组比较,高血压合并冠心病组色H值降低(P<0.01),面色R值、G值、B值、H值、V值、L值降低(P<0.05,P<0.01);S、b值增加(P<0.01)。结论:高血压组和高血压合并冠心病组较健康人面色更为暗红,高血压合并冠心病患者较单纯高血压患者面色更为晦暗,为高血压、冠心病临床诊疗提供一定客观依据。Objective:To explore the differences in facial diagnosis characteristics between patients with hypertension combined with coronary heart disease(CHD),patients with pure hypertension,and healthy individuals.Methods:The facial images of the hypertension group,hypertension combined with CHD group,and healthy group were collected and analyzed using the Daosheng DS01-B facial diagnostic instrument.Results:Compared to healthy individuals,both the hypertension group and the hypertension combined with CHD group exhibited reduced R,G,B,H,V,and L values,while S and a values increased(P<0.01).Compared to the hypertension group,the hypertension combined with CHD group showed a further reduction in H value(P<0.01)and a decrease in R,G,B,H,V,and L values(P<0.05,P<0.01),while S and b values increased(P<0.01).Conclusion:Both the hypertension group and the hypertension combined with CHD group had darker red facial complexions compared to healthy individuals,with the hypertension combined with CHD patients exhibiting a more dull complexion than those with pure hypertension.These findings provide objective clinical evidence for the diagnosis and treatment of hypertension and CHD.

关 键 词：面诊 客观化 冠心病 高血压 胸痹 颜色空间 疾病预后 中医诊断 

分 类 号：R241.2[医药卫生—中医诊断学]