[1]范梦强,黄杰烽,丁权威,等.骨科大手术后舌苔苔质特征研究[J].中医正骨,2018,30(10):45.
　FAN Mengqiang,HUANG Jiefeng,DING Quanwei,et al.A clinical study of characteristics of tongue fur after orthopedic major operation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(10):45.
点击复制

骨科大手术后舌苔苔质特征研究()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年10期
页码:
45
栏目:
临床研究
出版日期:
2018-10-20

文章信息/Info

Title:
A clinical study of characteristics of tongue fur after orthopedic major operation
作者:
范梦强1; 黄杰烽2; 丁权威1; 李婷1; 刘魏1; 童培建2
(1.浙江中医药大学,浙江 杭州 310053; 2.浙江省中医院,浙江 杭州 310006)
Author(s):
FAN Mengqiang1; HUANG Jiefeng2; DING Quanwei1; LI Ting1; LIU Wei1; TONG Peijian2
1.Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,Zhejiang,China 2.Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China
关键词:
舌诊;  舌苔;  骨科大手术
Keywords:
tongue inspection;  tongue coating;  orthopedic major operation
摘要:
目的:探讨骨科大手术后患者的舌苔苔质特征。方法:以2016年10月至2018年2月在浙江省中医院住院接受骨科大手术(股骨颈骨折手术、股骨转子间骨折手术、股骨转子下骨折手术、股骨干骨折手术、脊柱开放性手术及人工髋、膝关节置换手术)的324例患者为研究对象。分别于手术后第1、3、7 天拍摄患者的舌体照片,判断其舌苔苔质类型。结果:324例患者术后第1、3、7 天出现的舌苔苔质包括腻苔、厚苔、薄苔、剥苔4种类型,腻苔522次、薄苔328次、剥苔86次、厚苔36次。18～39岁、40～59岁、60～79岁、≥80岁4个年龄段的舌苔苔质类型比较,差异有统计学意义(χ2=0.030,P=0.000),其中18～39岁、40～59岁及60～79岁患者的舌苔苔质均以腻苔、薄苔为主,≥80岁患者的舌苔苔质以剥苔为主。术后第1、3、7 天的舌苔苔质类型比较,差异无统计学意义(χ2=1.413,P=0.965),均以腻苔、薄苔为主。各年龄段患者中,术后第1、3、7 天的舌苔苔质类型比较,差异均无统计学意义(χ2=0.572,P=0.986; χ2=0.399,P=0.989; χ2=0.575,P=0.997; χ2=1.605,P=0.808),其中18～39岁、40～59岁及60～79岁患者术后第1、3、7 天的舌苔苔质均以腻苔、薄苔为主,≥80岁患者术后第1、3、7 天的舌苔苔质均以剥苔为主。结论:骨科大手术后,患者的舌苔苔质总体上以腻苔、薄苔为主; <80岁患者的舌苔苔质以腻苔、薄苔为主,≥80岁患者的舌苔苔质以剥苔为主; 术后不同时间患者的舌苔苔质类型没有明显差异。
Abstract:
Objective:To explore the characteristics of tongue fur of patients after orthopedic major operation.Methods:Three hundred and twenty-four patients who received orthopedic major operations including femoral neck fracture surgery,femoral intertrochanteric fracture surgery,femoral subtrochanteric fracture surgery,femoral shaft fracture surgery,spinal open surgery and artificial hip/knee replacement in Zhejiang Provincial Hospital of Traditional Chinese Medicine from October 2016 to February 2018 were selected as the subjects.The photos of patients'tongue body were taken on the 1st,3rd and 7th day after the operation,and the types of tongue fur were determined.Results:The greasy tongue fur(522 times),thick tongue fur(36 times),thin tongue fur(328 times)and tongue without fur(86 times)were found in 324 patients on the 1st,3rd and 7th day after the operation.There was statistical difference in the types of tongue fur between patients aged 18-39 years,40-59 years,60-79 years and ≥80 years(χ2=0.030,P=0.000).The greasy tongue fur and thin tongue fur were mainly found in patients aged 18-39 years,40-59 years and 60-79 years; and the tongue without fur was mainly found in patients≥80 years old.There was no statistical difference in the types of tongue fur between postoperative day 1,3 and 7(χ2=1.413,P=0.965),and the patients were mainly characteristized by greasy tongue fur and thin tongue fur.There was no statistical difference in the types of tongue fur of patients of each age group between postoperative day 1,3 and 7(χ2=0.572,P=0.986; χ2=0.399,P=0.989; χ2=0.575,P=0.997; χ2=1.605,P=0.808).The greasy tongue fur and thin tongue fur were mainly found in patients aged 18-39 years,40-59 years and 60-79 years,and the tongue without fur was mainly found in patients aged ≥80 years on the 1st,3rd and 7th day after the operation.Conclusion:After the orthopedic major operation,the tongue fur of patients were mainly greasy tongue fur and thin tongue fur in general.The tongue fur of patients<80 years old were mainly greasy tongue fur and thin tongue fur and the tongue fur of patients≥80 years old were mainly tongue without fur.There is no obvious difference between different timepoints in the types of tongue fur.

参考文献/References:


[1] 黎宁君,隋明亮,吴长江,等.严重创伤患者早期肠黏膜屏障功能检测的临床意义[J].吉林医学,2017,38(8):1437-1440.
[2] 李灿东,吴承玉.中医诊断学[M].9版.北京:中国中医药出版社,2012:52-54.
[3] LEE TH,LEE JS,HONG SJ,et al.Risk factors for postoperative ileus following orthopedic surgery:the role of chronic constipation[J].J Neurogastroenterol Motil,2015,21(1):121-125.
[4] SHEA-DONOHUE T,URBAN JF.Neuroimmune modulation of gut function[J].Handb Exp Pharmacol,2017,239:247-267.
[5] 李勇,贺丹军,魏睦新.功能性消化不良与精神心理因素的相关性及中药的干预作用[J].世界华人消化杂志,2012,20(32):3081-3086.
[6] O'MAHONY SM,CLARKE G,DINAN TG,et al.Irritable Bowel Syndrome and Stress-Related Psychiatric Co-morbidities:Focus on Early Life Stress[J].Handb Exp Pharmacol,2017,239:219-246.
[7] KIELY PD,MOUNT LE,DU JY,et al.The incidence and risk factors for post-operative ileus after spinal fusion surgery:a multivariate analysis[J].Int Orthop,2016,40(6):1067-1074.
[8] RAWLINSON A,KITCHINGHAM N,HART C,et al.Mechanisms of reducing postoperative pain,nausea and vomiting:a systematic review of current techniques[J].Evid Based Med,2012,17(3):75-80.
[9] 蒋志,陈其城,曹立幸,等.中医药对术后胃肠功能作用的研究进展[J].中国中西医结合杂志,2013,33(8):1147-1150.
[10] 李荣,段晖,梁正新.大承气汤对35例严重创伤患者胃肠功能障碍的治疗效果[J].上海医药,2016,37(5):37-40.
[11] 刘魏,黄杰烽,郑杨,等.半夏厚朴汤加减治疗腰椎骨折术后胃肠功能障碍30例的疗效观察[J].中国中医骨伤科杂志,2016,24(8):37-39.
[12] 马朋杰,刘魏,黄杰烽,等.基于ICC探索半夏厚朴汤加减对腰椎骨折后大鼠胃肠动力的影响及作用机制[J].中国中医急症,2016,25(12):2209-2212.
[13] 赵天宇.基于图像分析的仝小林教授门诊2型糖尿病舌象客观化研究[D].北京:北京中医药大学,2015.

备注/Memo

备注/Memo:

通讯作者:童培建 E-mail:tongpeijian@163.com
更新日期/Last Update: 2019-02-25