不同中医证型糖尿病高危足患者舌诊图像参数分析

邵腾腾; 陈聪; 王玉晴; 王嘉霖; 燕海霞; 赵诚

doi:10.16305/j.1007-1334.2021.2004178

您当前的位置：

首页 >

文章列表页 >

不同中医证型糖尿病高危足患者舌诊图像参数分析

临床试验 | 更新时间：2022-08-02

- 不同中医证型糖尿病高危足患者舌诊图像参数分析
- Analysis of tongue diagnosis image parameters in patients with high risk diabetic foot of different TCM syndromes
- 上海中医药杂志 2021年55卷第1期页码：57-60,65
- 作者机构：
  
  1.上海中医药大学附属上海市中西医结合医院脉管病科（上海　200082）
  2.上海中医药大学基础医学院（上海　201203）
  3.上海市中西医结合脉管病研究所（上海　200082）
- 作者简介：
  
  邵腾腾，女，硕士研究生，主要从事糖尿病足的中医客观化辨证研究工作
  赵诚，主任医师，硕士研究生导师；E-mail：chengzhao_79@163.com
- 基金信息：
  
  上海市卫计委科研面上项目(201740093);上海市科委中医引导类项目(18401903600);上海市卫计委进一步加快中医药事业发展三年行动计划项目(ZY（2018-2020）-CCCX-4005);国家中医药管理局第六批全国老中医药专家学术经验继承项目(2017-29);上海市虹口区卫计委虹口区“国医强优”三年行动计划项目(HGY-MGB-2018-01-02;HGY-KY-2018- 21)
- DOI：10.16305/j.1007-1334.2021.2004178
  中图分类号：
扫描看全文
邵腾腾, 陈聪, 王玉晴, 等. 不同中医证型糖尿病高危足患者舌诊图像参数分析[J]. 上海中医药杂志, 2021,55(1):57-60,65.

Tengteng SHAO, Cong CHEN, Yuqing WANG, et al. Analysis of tongue diagnosis image parameters in patients with high risk diabetic foot of different TCM syndromes[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(1):57-60,65.
邵腾腾, 陈聪, 王玉晴, 等. 不同中医证型糖尿病高危足患者舌诊图像参数分析[J]. 上海中医药杂志, 2021,55(1):57-60,65. DOI： 10.16305/j.1007-1334.2021.2004178.

Tengteng SHAO, Cong CHEN, Yuqing WANG, et al. Analysis of tongue diagnosis image parameters in patients with high risk diabetic foot of different TCM syndromes[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(1):57-60,65. DOI： 10.16305/j.1007-1334.2021.2004178.

摘要

目的,2,分析不同中医证型糖尿病高危足患者的舌诊图像参数特征，为其中医辨证提供客观化依据。,方法,2,采用Smart TSM-I舌面信息采集分析仪拍摄糖尿病高危足3种常见中医分型（寒凝瘀阻证、热毒伤阴证、气血两虚证）患者的舌象照片，利用分析软件识别并提取舌质、舌苔的图像参数，并据此分析不同中医证型的特征参数。,结果,2,①舌质图像参数：与气血两虚证比较，寒凝瘀阻证患者舌质整体、舌中部及舌尖部H值升高（,P,<,0.05），舌尖部B值降低（,P,<,0.05），热毒伤阴证患者舌尖部R值、B值、V值降低（,P,<,0.05）；与热毒伤阴证比较，寒凝瘀阻证患者舌根部、舌中部H值升高（,P,<,0.05）。②舌苔图像参数：与气血两虚证比较，寒凝瘀阻证患者舌苔整体颜色B值、H值及舌根部苔色H值升高（,P,<,0.05），热毒伤阴证患者舌尖部苔色G值降低（,P,<,0.05）。,结论,2,不同证型糖尿病高危足患者的舌诊图像参数存在一定的差异，可反映不同证型糖尿病高危足的中医病机，为其整体辨证、脏腑辨证提供部分客观依据。

Abstract

Objective,2,To provide objective basis for TCM syndrome differentiation by analyzing the characteristics of tongue diagnosis image parameters in patients with high risk diabetic foot of different TCM syndromes.,Methods,2,The smart TSM-I tongue-and-face diagnostic machine was used to take photos of tongue images of patients with high risk diabetic foot in three common TCM syndromes (cold coagulation and stasis stagnation syndrome, heat toxin injuring yin syndrome and qi-blood dual deficiency syndrome). The image parameters of tongue body and tongue coating were identified and extracted by analysis software, and the characteristic parameters of different TCM syndromes were analyzed accordingly.,Results,2,①Image parameters of tongue body: compared with the condition in patients with qi-blood dual deficiency syndrome, the H value of the whole tongue body, the middle part and the tip of the tongue increased (,P,<,0.05) and the B value of the tip of the tongue decreased (,P,<,0.05) in patients with cold coagulation and blood stasis syndrome, and the R value, B value and V value of the tip of the tongue in patients with heat toxin injuring yin syndrome decreased (,P,<,0.05); Compared with the condition in patients with heat toxin injuring yin syndrome, the H value of tongue root and middle part of tongue in patients with cold coagulation and blood stasis syndrome increased (,P,<,0.05). ②Image parameters of tongue coating: compared with the condition in patients with qi-blood dual deficiency syndrome, the B value, H value of the overall color of tongue coating and H value of tongue root color in patients with cold coagulation and blood stasis syndrome increased (,P,<,0.05), while the G value of tongue tip color in patients with heat toxin injuring yin syndrome decreased (,P,<,0.05).,Conclusion,2,There are some differences in tongue diagnosis image parameters of patients with high risk diabetic foot of different syndromes, which can reflect TCM pathogenesis of high risk diabetic foot of different syndromes and provide some objective basis for the holistic and visceral syndrome differentiation.

关键词

糖尿病高危足糖尿病足中医证候中医诊断学舌诊客观化

Keywords

high risk diabetic footdiabetic footTCM syndromesTCM diagnosticstongue diagnosisTCM syndrome objectification

references

BAKKER K，APELQVIST J，SCHAPER N C，et al.Practical guidelines on the management and prevention of diabetic foot 2011[J].Diabetes Metab Res Rev，2012,28(Suppl 1):225-231.

DESHPANDE A D，HARRIS-HAYES M，SCHOOTMAN M.Epidemiology of diabetes and diabetes-related complications[J].Phys Ther，2008,88(11):1254-1264.

ADAM D J，RAPTIS S，FITRIDGE R A.Trends in the presentation and surgical management of the acute diabetic foot[J].Eur J Vasc Endovasc Surg，2006,31(2):151-156.

AL-RUBEAAN K，AL DERWISH M，OUIZI S，et al.Diabetic foot complications and their risk Factors from a large retrospective cohort study[J].PLoS One，2015,10(5):e0124446.

于秀辰，吴婧，黄允瑜.整体与局部辨证相结合治疗糖尿病足[J].中国中医基础医学杂志，2009,15(12):927-929.

殷玥，张朝晖.辨舌与糖尿病足部伤口之关系[J].陕西中医，2012,33(3):382-383.

张咏梅，吴铁.糖尿病的舌诊应用[J].中国中医药现代远程教育，2015,13(19):137-138.

BUS S A，VAN NETTEN J J，LAVERY L A，et al.IWGDF guidance on the prevention of foot ulcers in at-risk patients with diabetes[J].Diabetes Metab Res Rev，2016,32(Suppl 1):16-24.

中华中医药学会.糖尿病中医防治指南糖尿病足[J].中国中医药现代远程教育，2011,9(19):140-143.

陈聪，洪静，宋雪阳，等.冠心病痰瘀互结证舌诊图像特征参数分析[J].中医杂志，2019,60(16):1395-1400.

魏守宽，史学茂，魏超.糖尿病性紫舌有关客观指标初步观察[J].山东中医杂志，1994,13(1):24-25.

程茂维.补肝肾通络汤治疗2型糖尿病周围神经病变疗效观察[J].中国民间疗法，2017,25(9):44-45.

于秀辰.吕仁和教授辨治糖尿病周围神经病变经验[J].中级医刊，1997,32(12):42-43.

王莉，秦吉华.阴虚、阳虚气血两虚患者舌尖微循环观察[J].山东中医药大学学报，1998,22(5):364-365.

浏览量

368

下载量

CSCD

CNKI被引量

文章被引用时，请邮件提醒。

提交

工具集

关联资源

徐振晔治疗基因无突变晚期非小细胞肺癌的经验

舌下络脉诊在临床病症中的应用研究进展

中医药膳治疗重症糖尿病足坏疽合并重度低蛋白血症的临床研究

上海地区膀胱癌患者中医证型分布及临床特征的多中心研究

曹烨民治疗糖尿病足坏疽（筋疽型）经验撷菁