224例SARS患者舌象定量与病情相关性研究  

Study on Relationship between Quantitative Data of Tongue Picture and State of Illness in 224 Patients with Severe Acute Respiratory Syndrome

作　　者：邹金盘[1] 汪卫东[1] 李光熙[1] 孙利民[1] 李军[1] 李辉[1] 倪青[1] 刘喜明[1] 卢建新[1] 花宝金[1] 王寅[1] 刘元石[1] 边永君[1] 白宇宁[1] 崔全起[1] 陈瑞雪[1] 赵宏[1] 刘丽[1] 李国勤[1] 

机构地区：[1]中国中医研究院广安门医院呼吸内科,北京100053

出　　处：《中国中西医结合杂志》2003年第10期740-743,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金："十五"863计划重大项目 :中西医结合治疗SARS的临床研究部分工作之一 (No.2 0 0 3AA2 0 81 0 1 )

摘　　要：目的 :观察严重急性呼吸综合征 (SARS)患者的舌质、舌苔特征并探讨其与病情的相关性。方法 :用数码相机摄取患者的舌象 ,然后用图像识别分析软件测定舌质、舌苔的红色分量 (R)、绿色分量 (G)、蓝色分量 (B)数值 ,并分析其与病情关系。结果 :急性期 6 9例中舌质以淡红色 (5 1例 ,73 9% )为最多 ,与其他各舌色比较 ,差异有显著性 (P <0 0 1) ;舌苔以薄黄 (32例 ,4 6 4 % )为多 ,其次是薄白 (2 9例 ,4 2 0 % ) ;舌体胖大者 5例 (7 2 % ) ,舌边有齿痕 12例 (17 4 % )。恢复期 15 5例中舌质以淡暗 (72例 ,4 6 5 % )为多 ,其次是淡红 (6 8例 ,4 3 9% ) ;舌苔以薄白苔 (80例 ,5 1 6 % )为多 ,与其他各舌苔比较差异有显著性 (P <0 0 1) ;其次是舌根部黄 31例 (2 0 0 % ) ,舌体胖大 2 3例 (14 8% ) ,舌边有齿痕者 19例 (12 3% )。病情属普通型者中舌质淡红、舌苔薄白为多 ;重型者以舌质淡暗、舌苔根黄为多 ;极重型以舌质淡暗、舌苔黄厚为多。肺损伤累及肺叶≥ 3叶者以舌质淡暗、舌苔根黄为多 ;累及肺叶 1、2叶者以舌质淡红、舌苔薄白为多。结论 :该方法测定的R、G、B数值变化可以比较灵敏地反映舌质、舌苔的颜色差异。舌象是对SARS患者病情判断 ,辨证论治的客观证据之一。Objective: To observe the characteristics of tongue proper and tongue coating in patients with severe acute respiratory syndrome (SARS) and to explore the relationship between tongue picture and state of illness. Methods: Tongue picture was taken by digital camera and colors (red, green and blue) of tongue proper and coating were analyzed quantitatively with image processing software. Results: In the 69 patients of acute stage, the color of tongue proper was mostly light red (51 patients, 73.9%), with significant difference in comparing with other colors (P<0.01). The color of tongue coating was mostly thin yellow (32 patients, 46.4%), and thin white was the second (29 patients, 42.0%). There was swollen tongue body in 5 patients (7.2%), teeth print on tongue margin in 12 cases (17.4%). In the 155 patients of recovery stage, the color of tongue proper was mostly dark pale (72 patients, 46.5%), the second light red (68 patients, 43.9%), color of tongue coating was mostly thin white (80 patients, 51.6%), which was significantly higher than other colors (P<0.01), the second was yellow in tongue root region (31 patients, 20.0%). Swollen tongue body was found in 23 patients (14.8%) and teeth print on margin was found in 19 patients (12.3%). Most patients of ordinary state had light red tongue proper and thin white coating, patients of severe state mostly had dark pale tongue proper and yellow coating in root region, and the critical patients were mostly with dark pale proper and thick yellow coating. Patients with affected lung ≥3 lobules mostly had pale dark proper and yellow coating on root, but those with involved lung <3 lobules mostly had light red proper and thin white coating. Conclusion: The colors detected quantitatively by the method described above could comparatively reflect the difference of tongue proper and coating sensitively. Tongue picture is one of the objective evidence for judging state of illness and Syndrome Differentiation based on treatment in SARS patients.

关 键 词：SARS 舌象 定量 病情相关性研究 舌质 舌苔 非典型肺炎 

分 类 号：R241.25[医药卫生—中医诊断学]