[1]张淼 黄蓉 汪蓉彭强 宋丽培 陈瑞扬 刘晨路.246例2型糖尿病患者舌下络脉征象与中医辨证分型的相关性研究[J].现代中医药,2023,(05):085-91.[doi:10.13424/j.cnki.mtcm.2023.05.017]
 ZHANG Miao HUANG Rong WANG RongPENG QiangSONG Lipei CHEN Ruiyang LIU Chenlu.Correlation Between Sublingual Collateral Signs and TCMSyndrome Differentiation in 246 Patients with Type 2 Diabetes[J].Modern Traditional Chinese Medicine,2023,(05):085-91.[doi:10.13424/j.cnki.mtcm.2023.05.017]
点击复制

246例2型糖尿病患者舌下络脉征象与中医辨证分型的相关性研究()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年05期
页码:
085-91
栏目:
出版日期:
2023-09-20

文章信息/Info

Title:
Correlation Between Sublingual Collateral Signs and TCMSyndrome Differentiation in 246 Patients with Type 2 Diabetes
文章编号:
1672-0571(2023)05-0085-07
作者:
张淼12 黄蓉12 汪蓉12彭强3 宋丽培3 陈瑞扬12 刘晨路12
1.天津市口腔医院/南开大学医学院,天津 300041;
2.天津市口腔功能重建重点实验室,天津 300041;
3.南开大学电子信息学院现代光学研究所,天津 300350
Author(s):
ZHANG Miao12 HUANG Rong12 WANG Rong12PENG Qiang3SONG Lipei3 CHEN Ruiyang12 LIU Chenlu12
1.Tianjin Stomatological Hospital/School of Medicine,Nankai University,Tianjin 300041,China;
2.Tianjin Key Laboratory of Oral Function Reconstruction,Tianjin 300041,China;
3.Institute of Modern Optics,School of Electronic Information,Nankai University,Tianjin 300350,China
关键词:
关键词:2型糖尿病中医辨证分型舌下络脉相关性研究舌诊
Keywords:
Key words:Type 2 diabetesTraditional Chinese medicine syndrome differentiationSublingual collateralsCorrelation researchTongue diagnosis
分类号:
R255.4
DOI:
10.13424/j.cnki.mtcm.2023.05.017
文献标志码:
A
摘要:
摘 要:目的 研究2型糖尿病患者舌下络脉的络色、长度、充盈度、曲张度、兼见表现的特征,探讨2型糖尿病患者不同证型舌下络脉征象的特点及相关性。方法 随机选取符合2型糖尿病诊断标准的246例患者,运用数码相机采集患者的舌下络脉图像,进行统计学分析。结果 2型糖尿病不同证型患者在络色、长度、充盈度、曲张度及兼见表现方面具有显著性差异(P<0.05);肝郁气滞证与脾胃郁滞证之间的络色、长度、曲张度差异具有显著的统计学差异(P<0.05),血瘀水停证与血瘀脉络证之间的络色、长度、充盈度、曲张度差异具有显著的统计学差异(P<0.05)。结论 2型糖尿病患者不同证型的舌下络脉之间存在着不同的络色、长度、充盈度、曲张度、兼见表现特点与相关性。
Abstract:
Abstract:Objective To study the characteristics of color,length,filling degree,curvature and concurrent manifestation of sublingual collaterals in type 2 diabetes patients,and to explore the characteristics and correlation of sublingual collaterals in type 2 diabetes patients with different syndromes.Methods 246 patients who met the diagnostic criteria of type 2 diabetes were randomly selected,and the images of sublingual collaterals were collected by digital camera,and then were statistically analyzed.Results There were significant differences in color,length,fullness,curvature and concurrent manifestations of type 2 diabetes patients with different syndromes (P<0.05);There is a significant statistical difference (P<0.05) in the color,length,and curvature of the collaterals between the liver depression Qi stagnation syndrome and the spleen stomach stagnation syndrome,while there is a significant statistical difference (P<0.05) in the color,length,filling,and curvature of the collaterals between the blood stasis water stagnation syndrome and the blood stasis in meridian syndrome.Conclusion The sublingual collaterals of type 2 diabetes patients with different syndromes have different characteristics and correlations in color,length,filling degree,curvature,and concurrent manifestations.

参考文献/References:

[1]毛冬雪,齐景馨,俞睿,等.舌下络脉形成的机理探析及临床意义[J].辽宁中医杂志,2019,46(10):2089-2091.
[2]王河宝,吴丽芳,孙悦,等.舌诊在高血压病健康风险评估中的作用意义研究[J].辽宁中医杂志,2017,44(12):2524-2525.
[3]李念,黄古叶,李媛,等.肝硬化与舌下络脉相关性研究进展[J].中华中医药杂志,2021,36(2):972-974.
[4]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].国际内分泌代谢杂志,2021,41(5):482-548.
[5]郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:233-237.
[6]中华中医药学会发布.糖尿病中医防治指南[M].北京:中国中医药出版社,2007.
[7]王立娟,杨帅,徐莹,等.舌下络脉的图像采集及特征提取研究进展[J].中华中医药杂志,2021,36(7):4132-4135.
[8]王瑞华,李艳芬,孙兰军,等.慢性心力衰竭病人舌下络脉变化与血常规指标的相关性分析[J].中西医结合心脑血管病杂志,2018,16(7):833-840.
[9]邓铁涛.中医诊断学[M].2版.北京:人民卫生出版社,2008.
[10]史琦,陈建新,赵慧辉,等.212例冠心病患者舌下络脉征象与中医辨证关系的研究[J].北京中医药大学学报,2011,34(12):855-859.
[11]张芳,赵轩胤.中医“治未病思想”在防治妊娠期糖尿病中的应用[J].现代中医药,2022,42(1):69-72.
[12]方晨晔,唐志鹏.现代化舌诊在临床研究中的应用[J].中国中医药信息杂志,2016,23(6):119-122.
[13]Morita A,Murakami A,Noguchi K,et al.Combination image analysis of tongue color and sublingual vein improves the diagnostic accuracy of oketsu (blood stasis) in kampo medicine[J].Frontiers in Medicine,2021,8:790542.
[14]Morita A,Murakami A,Watanabe Y,et al.The association in Kampo medicine between Oketsu (blood stasis) and sublingual vein width of the tongue on a tongue image analyzing system[J].Traditional & Kampo Medicine,2020,7(2):108-112.
[15]Yang TX,Yoshimura Y,Morita A,et al.Synergistic attention UNet for sublingual vein segmentation[J].Artificial Life and Robotics,2019,24(4):550-559.
[16]谢晓柳,安冬青,汪建萍.冠心病患者舌底脉络征象与冠状动脉粥样硬化的相关性[J].中医杂志,2016,57(3):241-244,176.
[17]逄冰,刘文科,郑玉娇,等.仝小林从“六郁”谈糖尿病前期的中医证治[J].北京中医药,2017,36(6):505-507.
[18]柴雅倩,陈群,徐志伟.瘀血舌血液流变学指标与血管超声指标的相关性[J].中医杂志,2007,48(8):733-734,744.
[19]吴袁元,张佳乐,方朝晖,等.方朝晖教授运用“久病入络”思路治疗糖尿病周围神经病变经验[J].陕西中医药大学学报,2017,40(6):18-21.
[20]杨栓柱,路波,孙玲莉.糖尿病肾病患者舌下络脉观察分析[J].陕西中医,2012,33(4):421-423.
[21]杨亚平,钱峻,詹瑧,等.糖尿病血管病变的舌下络脉观察及特点分析[J].南京中医药大学学报,2008,24(6):370-372.
[22]刘群,侯以琳,孙妍蕾.波动性高血糖、代谢记忆与糖尿病慢性并发症[J].临床内科杂志,2014,31(10):714-715.
[23]魏琼,孙子林,金晖,等.血糖波动和糖尿病慢性并发症的分子机制研究进展[J].中华糖尿病杂志,2012,4(9):560-563.
[24]Turner CG,Stanhewicz AE,Wong BJ.Female sex hormone effects on the vasculature:considering the validity of restricting study inclusion to lowhormone phases[J].Frontiers in Physiology,2020,11:596507.
[25]吕继宏,段玉红,张效科.《糖尿病周围神经病变病证结合诊疗指南》解读[J].现代中医药,2022,42(3):32-36.
[26]仝小林.糖络病学[M].北京:中国中医药出版社,2020.

相似文献/References:

[1]杨勇 王亚丽 郑运松 关建军.缺血性中风急性期中医辨证分型与头颅 MRI相关性研究初探[J].现代中医药,2018,(06):016.[doi:10.13424/j.cnki.mtcm.2018.06.007]
 Yang Yong Wang Yali Zheng Yunsong Guan Jianjun.Preliminary Study on Correlation between TCM Syndrome Differentiation and Head MRI in Acute Ischemic Apoplexy[J].Modern Traditional Chinese Medicine,2018,(05):016.[doi:10.13424/j.cnki.mtcm.2018.06.007]
[2]周辉 闫俊 张洁.活血通痹膏联合TDP治疗对2型糖尿病下肢神经感觉及血流变化临床研究[J].现代中医药,2022,1(06):098.[doi:10.13424/j.cnki.mtcm.2022.06.020]
 ZHOU Hui YAN Jun ZHANG Jie.Effect of Huoxue Tongbi Plaster Combined with TDP on Neurosensation of Lower Limbsand Blood Flow Changes in Patients with Type 2 Diabetes Mellitus[J].Modern Traditional Chinese Medicine,2022,1(05):098.[doi:10.13424/j.cnki.mtcm.2022.06.020]
[3]张彦利 朱志敏 张效科 刘霞 曹静雯 马小英.药枕联合耳穴压豆治疗2型糖尿病相关性失眠临床研究[J].现代中医药,2022,1(06):104.[doi:10.13424/j.cnki.mtcm.2022.06.021]

备注/Memo

备注/Memo:
基金项目:天津市医学重点学科(专科)建设项目资助(TJYXZDXK-048A);天津市卫生健康委员会 中医中西医结合科研课题(2019123)
更新日期/Last Update: 2023-09-22