慢性盆腔炎患者舌象特征与免疫炎症指标的相关性分析  

Correlation Analysis of Tongue Image Features and Immunoinflammatory Indexes in Patients with Pelvic Inflammatory Disease

作　　者：吴晓君 周明钊 黄剑平 黄政乐 WU Xiao-jun;ZHOU Ming-zhao;HUANG Jian-ping;HUANG Zheng-le(School of Basic Medicine,Guangxi University of Chinese Medicine,Nanning Guangxi 532000;Guangxi International Zhuang Medical Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning Guangxi 532000;Guangxi Jiantianxia Health Management Co.,Ltd.,Nanning Guangxi 532000;The People′s Hospital of Ningming County,Ningming Guangxi 532599)

机构地区：[1]广西中医药大学基础医学院,广西南宁532000 [2]广西中医药大学附属国际壮医医院,广西南宁532000 [3]广西健天下健康管理有限公司,广西南宁532000 [4]广西宁明县人民医院,广西宁明532599

出　　处：《世界中西医结合杂志》2024年第12期2427-2432,共6页World Journal of Integrated Traditional and Western Medicine

基　　金：广西自然科学基金项目(2020GXNSFAA259011)。

摘　　要：目的探讨慢性盆腔炎患者舌象特征与免疫炎症指标的相关性分析。方法选取2023年1月—2023年12月期间广西中医药大学附属国际壮医医院诊治的102例慢性盆腔炎患者为研究对象,根据慢性盆腔炎患者舌象进行分型,分析慢性盆腔炎患者舌象特点及免疫炎症特点,比较不同舌象慢性盆腔炎患者的舌色、苔色及免疫炎症指标水平,对比慢性盆腔炎患者舌象客观参数与免疫炎症指标水平。结果102例慢性盆腔炎患者舌象均为复合舌象,从单一舌象要素分析,存在湿热瘀结证舌象者共34例(33.33%)、气滞血瘀证舌象者31例(30.39%)、寒湿凝滞证舌象者19例(18.63%)、气虚血瘀证舌象者共12例(11.76%)、血瘀肾虚证舌象者6例(5.88%)。102例慢性盆腔炎患者中分泌型免疫球蛋白A(secretory immunoglobulin a,sIgA)升高25例(24.51%)、C反应蛋白(C-reactive protein,CRP)升高93例(91.18%)、肿瘤坏死因子-α(Tumor necrosis factor-alpha,TNF-α)升高87例(85.29%)。慢性盆腔炎患者湿热瘀结证舌色以暗红色为主,苔色以黄苔为主;气滞血瘀证舌色以紫暗色为主,苔色以白苔为主;寒湿凝滞证舌色以淡紫色为主,苔色以白苔为主;气虚血瘀证及血瘀肾虚证舌色以紫暗色为主,苔色均以白色为主。湿热瘀结证CRP、TNF-α水平高于气滞血瘀证、寒湿凝滞证、气虚血瘀证、血瘀肾虚证,sIgA水平低于气滞血瘀证、寒湿凝滞证、气虚血瘀证、血瘀肾虚证,差异有统计学意义(P<0.05)。sIgA指标异常患者苔色参数中的舌根部H值与指标正常的患者对比,差异有统计学意义(P<0.05);慢性盆腔炎患者CRP指标异常舌色参数中的舌中部、舌左部H值与指标正常慢性盆腔炎患者比较,差异有统计学意义(P<0.05);慢性盆腔炎患者TNF-α指标异常舌色参数中的舌左部B值与指标正常慢性盆腔炎患者比较,差异有统计学意义(P<0.05)。结论慢性盆腔炎患者常见湿热瘀结证、气滞血瘀证�Objective To explore the correlation between tongue image characteristics and immunoinflammatory indexes in patients with chronic pelvic inflammatory disease(PID).Methods A total of 102 patients with chronic PID,diagnosed and treated at the Guangxi International Zhuang Medical Hospital Affiliated to Guangxi University of Chinese Medicine from January 2023 to December 2023,were selected for the study.Based on their tongue appearances,the patients were categorized and analyzed for tongue image characteristics and immunoinflammatory indexes.Differences in tongue color,coating,and immunoinflammatory markers were compared among chronic PID patients with different tongue patterns.Objective tongue parameters and immunoinflammatory indexes were also compared.Results Among the 102 chronic PID patients,all presented with composite tongue appearances.From the analysis of individual tongue elements,34 patients(33.33%)exhibited a tongue pattern associated with dampness-heat and blood stasis syndrome,31 patients(30.39%)exhibited a qi stagnation and blood stasis syndrome,19 patients(18.63%)had a cold-dampness obstruction syndrome,12 patients(11.76%)presented with a qi deficiency and blood stasis syndrome,and 6 patients(5.88%)had a blood stasis and kidney deficiency syndrome.In terms of immunoinflammatory markers,25 patients(24.51%)had elevated secretory immunoglobulin A(sIgA),93 patients(91.18%)had elevated C-reactive protein(CRP),and 87 patients(85.29%)had elevated tumor necrosis factor-alpha(TNF-α).For the dampness-heat and blood stasis syndrome,the tongue color was predominantly dark red,and the coating was mainly yellow.For qi stagnation and blood stasis syndrome,the tongue color was primarily dark purple,with a white coating.For cold-dampness obstruction syndrome,the tongue color was pale purple,with a white coating.For both qi deficiency and blood stasis syndrome and blood stasis and kidney deficiency syndrome,the tongue color was predominantly dark purple,with a white coating.The CRP and TNF-αlevels in patients with th

关 键 词：慢性盆腔炎 舌象特征 分泌型免疫球蛋白A C反应蛋白 肿瘤坏死因子-Α 相关性 

分 类 号：R241.25[医药卫生—中医诊断学] R711.33[医药卫生—中医临床基础]