92例SARS患者舌象的分析  

Characteristics of Tongue and Chest X-Rays in SARS Patients

作　　者：李宗信[1] 黄小波[1] 李斌[1] 李坤成[1] 尹建国[1] 孙淑玲[1] 陈文强[1] 王明越[1] 刘桂兰[1] 

机构地区：[1]首都医科大学宣武医院

出　　处：《首都医科大学学报》2003年第4期396-400,共5页Journal of Capital Medical University

基　　金：国家中医药管理局资助项目(国中药科非典-12);北京市中医管理局资助项目(京中科SARS04)

摘　　要：为了解严重急性呼吸综合征(severeacuterespiratorysyndrome,SARS)患者的中医证候特征、演变规律,舌象特点与X线胸片变化之间的关系,探索舌象在防治SARS中的作用,采用前瞻性方法对入院的92例SARS患者的临床表现、舌象照片、X线胸片等临床资料归纳总结和统计分析。结果患者的舌象出现芒剌与X线胸片的进展期和高峰期呈正相关,且与高峰期有显著性相关(P<0.05);舌体胖大、齿痕与痊愈期呈正相关,具有非常显著性相关(P<0.01);少苔或剥脱苔与吸收期、痊愈期和病程呈正相关,其中与吸收期和病程具有显著性相关(P<0.05)。提示虽然SARS患者的临床表现、舌象、X线胸片呈多样化,但放射学仍有独特改变,且舌象与X线胸片之间具有一定的相关性,舌象的动态追踪有助于及早发现病情变化,中医舌诊在SARS的诊疗中具有重要意义。The objective was to investigate the character of Traditional Chinese Medical(TCM)symptoms,its rule of evolvement and the correlation between character of tongue and chest X-rays in SARS patients.The significance of tongue observation in SARS treatment was discussed as well.Methods:The clinical menifestations,the characteristics of tongue and chest X-rays in92cases of SARS patients were collected.Four phases of pneumonia were defined as progression,fastigium,absorb and recovery phase.Different characteristics of tongue in different phase of pneumonia,and their correlations were analyzed by statistical methods.Results:Positive correlations were found between the appearance of prickled tongue surface and progression,fastigium phase,and more significant in fastigium P<0.05;positive correlation existed between swollen tongue,tongue with teeth prints and recovery phase,P<0.01,and P<0.05respectively;positive correlations also existed between shedding of fur and absorb phase,recovery phase and days of illness,and were significant between absorb phase and days of illness,P<0.05.Conclusion:Significant correlation exists between characteristies of tongue and thest X-rays in SARS patients.Observation of tongue helps to detect the variety of patient's condition in the early stage.Traditional Chinese medical observation of tongue is important in SARS treatment.

关 键 词：舌象 严重急性呼吸综合征 传染性非典型肺炎 SARS 中医证候 

分 类 号：R259.631[医药卫生—中西医结合] R241.25[医药卫生—中医内科学]