[1]赵墨,彭红叶,汪九重,等.慢性萎缩性胃炎不同危险分期患者中医舌象客观化研究[J].陕西中医,2025,46(6):756-760.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.007]
　ZHAO Mo,PENG Hongye,WANG Jiuchong,et al.Objectified study on tongue image of traditional Chinese medicine in patients with different risk stages of chronic atrophic gastritis[J].,2025,46(6):756-760.[doi:DOI:10.3969/j.issn.1000-7369.2025.06.007]
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慢性萎缩性胃炎不同危险分期患者中医舌象客观化研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年6期
页码:
756-760
栏目:
临床研究
出版日期:
2025-06-05

文章信息/Info

Title:
Objectified study on tongue image of traditional Chinese medicine in patients with different risk stages of chronic atrophic gastritis
作者:
赵墨1; 2; 彭红叶1; 2; 汪九重2; 赵鑫2; 黄淑霞1; 2; 吕文良2
（1.北京中医药大学，北京 100029；2.中国中医科学院广安门医院，北京 100053）
Author(s):
ZHAO Mo1; 2; PENG Hongye1; 2; WANG Jiuchong2; ZHAO Xin2; HUANG Shuxia1; 2; LYU Wenliang2
（1.Beijing University of Chinese Medicine,Beijing 100029,China;2.Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
关键词:
慢性萎缩性胃炎; 危险分期; 中医病性证素; 舌象; 客观化
Keywords:
Chronic atrophic gastritis; Risk staging; Traditional Chinese medicine syndrome differentiation; Tongue image; Objectification
分类号:
R 573.3
DOI:
DOI:10.3969/j.issn.1000-7369.2025.06.007
文献标志码:
A
摘要:
目的：分析慢性萎缩性胃炎不同危险分期患者舌象客观参数、中医病性证素分布特点及其相关性。方法：选取132例慢性萎缩性胃炎患者，根据OLGA/OLGIM分期分为低中危组83例，高危组49例，分别采集中医四诊及舌象信息，以MATLAB R2021b为图像处理系统，运用SPSS软件比较组间舌象客观参数及中医病性证素的特征变化。结果：与低中危组患者相比，高危组患者舌色以暗红舌为主，淡暗舌比例上升，淡红、红舌比例下降（P＜0.01）；苔色以黄苔为主，白苔比例降低（P＜0.05）；舌态及苔质方面，点刺舌比例下降（P＜0.05），燥苔比例上升（P＜0.05）；中医证素中阳虚、阴虚、湿阻的比例明显升高（P＜0.01），郁热比例上升（P＜0.05），气虚、气滞的比例明显下降（P＜0.01），其中阳虚、郁热、湿阻是慢性萎缩性胃炎进展的影响因素（P＜0.01）。慢性萎缩性胃炎患者中阳虚者舌色S参数降低、G参数升高，阳虚及湿阻者R+B/R+G+B比值均降低，表明阳虚及湿阻患者整体舌色偏暗（P＜0.05）。结论：舌象S参数及R+B/R+G+B比值可客观反映中医辨证理论，中医病性证素阳虚、郁热、湿阻是慢性萎缩性胃炎患者进展的影响因素。
Abstract:
Objective:To analyze the distribution characteristics of objective tongue parameters and traditional Chinese medicine (TCM) syndromes in patients with chronic atrophic gastritis (CAG) across different risk stages.Methods:Based on the OLGA/OLGIM staging system,a total of 132 CAG patients were divided into a low- to medium-risk group (83 patients) and a high-risk group (49 patients).Data on TCM diagnostic methods and tongue manifestations were collected.Using MATLAB R2021b for image processing and SPSS software for statistical analysis,we compared the differences in tongue parameters and TCM syndrome distribution between the groups.Results:Compared to the low- to medium-risk group,the high-risk group exhibited a higher proportion of dark red tongues,a rise in the incidence of pale-dark tongues,and a decrease in the proportion of pale red and red tongues (P<0.01).The most common tongue coating color in the high-risk group was yellow,with a reduced proportion of white coating (P<0.05).Regarding tongue shape and coating texture,the proportion of punctate tongues decreased (P<0.05),while the proportion of dry coating increased (P<0.05).TCM syndromes such as Yang deficiency,Yin deficiency,and dampness obstruction were significantly more prevalent in the high-risk group (P<0.01),while the proportions of Qi deficiency and Qi stagnation were significantly lower (P<0.01).Yang deficiency,stagnant heat,and dampness obstruction were found to be significant factors influencing the progression of CAG (P<0.01).In patients with CAG,those with Yang deficiency exhibited a decrease in the S parameter and an increase in the G parameter of tongue color.Both Yang deficiency and dampness obstruction patients showed a lower R+B/R+G+B ratio,indicating a darker overall tongue color (P<0.05).Conclusion:The tongue color S parameter and the R+B/R+G+B ratio can objectively reflect the principles of TCM syndrome differentiation.The TCM syndromes of Yang deficiency,stagnant heat,and dampness obstruction are influencing factors for the progression of CAG.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（82374332）；国家中医药管理局中医药传承与创新“百千万”人才工程岐黄学者项目[国中医药人教函（2021）203号]；中央高水平中医医院临床研究和成果转化能力提升项目-中医药临床循证研究专项（HLCMHPP2023086）
更新日期/Last Update: 2025-06-09