[1]张兵,马凰富,刘波,等.非创伤性股骨头坏死的舌象定量研究[J].中医正骨,2015,27(04):8-11.
　ZHANG Bing,MA Huangfu,LIU Bo,et al.Quantitative study on tongue manifestation of patients with nontraumatic osteonecrosis of femoral head[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(04):8-11.
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非创伤性股骨头坏死的舌象定量研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年04期
页码:
8-11
栏目:
临床研究
出版日期:
2015-04-30

文章信息/Info

Title:
Quantitative study on tongue manifestation of patients with nontraumatic osteonecrosis of femoral head
作者:
张兵1; 马凰富1; 刘波2; 陈志伟1; 陈卫衡1
1.中国中医科学院望京医院,北京 100102;
2.贵阳中医学院,贵州 贵阳 550002
Author(s):
ZHANG Bing1; MA Huangfu1; LIU Bo2; CHEN Zhiwei1; CHEN Weiheng1
1.Wangjing Hospital of China Academy Of Chinese Medical Sciences,Beijing 100102,China
2.Guiyang College of Traditional Chinese Medicine,Guiyang 550002,Guizhou,China
关键词:
股骨头坏死;  舌诊客观化;  聚类分析;  辨证
Keywords:
femur head necrosis;  objectifying tongue inspection;  cluster analysis;  syndrome differentiation
摘要:
目的:探讨定量采集分析舌象特征在非创伤性股骨头坏死中医辨证中的应用价值。方法:采用DS01-B舌面诊测信息采集仪采集分析273例非创伤性股骨头坏死患者的舌象信息,对所获得的舌象信息进行聚类分析,同时分析非创伤性股骨头坏死国际骨循环研究会(Association Research Circulation Osseous,ARCO)分期与舌象特征的关系。结果:273例患者共涉及18项舌象信息,舌色以淡紫、暗红、淡红为主; 舌形以胖、齿痕、裂纹为主; 苔色以白、灰黑、黄白相兼为主; 苔质以薄苔、腻苔为主。经聚类分析,最终将273例非创伤性股骨头坏死患者的舌象分为3类。第1类,舌胖、苔薄白; 第2类,舌暗红或淡紫、苔黄白相间; 第3类,舌淡红,有齿痕、裂纹,苔厚、腻或少苔、无苔,颜色灰黑。ARCOⅠ期患者舌色为淡紫、舌形为胖、苔色为灰黑、苔质少; ARCOⅡ、Ⅲ期患者舌色以暗红、淡紫、淡红为主,舌形以胖为主,苔色以白为主,苔质以薄苔为主; ARCOⅣ期患者舌色以暗红为主,舌形以胖、齿痕为主,苔色以黄白相兼、灰黑为主,苔质以薄苔为主。结论:通过舌面诊测信息采集仪定量采集分析的舌象信息可准确反映非创伤性股骨头坏死患者的舌象特征,可作为非创伤性股骨头坏死的中医辨证依据。
Abstract:
Objective:To explore the applied value of quantitative analysis of characteristics of tongue manifestation in TCM syndrome differentiation of nontraumatic osteonecrosis of femoral head(NONFH).Methods:The tongue manifestations of 273 patients with NONFH were collected and analysed by using DS01-B lingual surface diagnostic information acquisition instrument,and cluster analysis was performed to analyze acquired information on tongue manifestation.Meanwhile,the relationship between characteristics of tongue manifestation and clinical stage of NONFH issued by Association Research Circulation Osseous(ARCO)were also analysed.Results:Eighteen pieces of information on tongue manifestation were found in 273 patients.The tongue colors were mainly pale purple,dark red and pale red.The tongue form were mainly fat,teeth-marked and fissured.The fur colors were mainly white,gray-black and yellow-white.The fur texture were mainly thin and slimy.The result of cluster analysis showed that tongue manifestations of 273 patients with NONFH were finally divided into three categories:(1)the tongue form were fat and the tongue furs were thin and white;(2)the tongue colors were dark red or pale purple and the tongue fur were yellow-white;(3)the tongue colors were pale red,and the tongue form were teeth-marked and fissured,and the fur texture were thick-slimy or presented with little or no tongue fur and gray-black tongue fur.For patients categorized as ARCO phaseⅠ,the tongue colors were pale purple,the tongue form were fat,the fur colors were gray-black,and the fur texture were thin.For patients categorized as ARCO phaseⅡand Ⅲ,the tongue colors were mainly dark red,pale purple and pale red; the tongue form were mainly fat; the fur colors were mainly white; and the fur texture were mainly thin.For patients categorized as ARCO phase Ⅳ,the tongue colors were mainly dark red,the tongue form were mainly fat and teeth-marked,the fur colors were mainly yellow-white and gray-black,and the fur texture were mainly thin.Conclusion:The information on tongue manifestation collected and quantitative analyzed by using lingual surface diagnostic information acquisition instrument can accurately reflect the characteristics of tongue manifestation of patients with NONFH,so it can be used as the basis of TCM syndrome differentiation of NONFH.

参考文献/References:

[1] 齐丽晶,高山.观中医诊疗设备现状谈产品发展和标准化工作[J].中国医疗器械信息,2013,(2):22-24.
[2] 王忆勤.中医诊断学研究思路与方法[M].上海:上海科学技术出版社,2008:29.
[3] Sun W,Wang BL,Li ZR.Chinese specialist consensus on diagnosis and treatment of osteonecrosis of the femoral head[J].Orthop Surg,2011,3(2):131-137.
[4] Wang C,Peng J,Lu S.Summary of the various treatments for osteonecrosis of the femoral head by mechanism:A review[J].Exp Ther Med,2014,8(3):700-706.
[5] 李子荣.股骨头骨坏死的ARCO分期[J].中华外科杂志,1996,34(3):186-187.
[6] 李子荣.股骨头坏死诊断和治疗的专家建议[J].中国全科医学,2006,9(14):1178-1179.
[7] 李顺东,许超,童培建,等.股骨头缺血性坏死常用分期体系的回顾与评价[J].中医正骨,2014,26(4):36-39.
[8] Amanatullah DF,Strauss EJ,Di Cesare PE.Current management options for osteonecrosis of the femoral head:part 1,diagnosis and nonoperative management[J].Am J Orthop(Belle Mead NJ),2011,40(9):E186-E192.
[9] Lavernia CJ,Sierra RJ,Grieco FR. Osteonecrosis of the femoral head[J].J Am Acad Orthop Surg,1999,7(4):250-261.
[10] Zalavras CG,Lieberman JR.Osteonecrosis of the femoral head: evaluation and treatment[J].J Am Acad Orthop Surg,2014,22(7):455-464.
[11] 何伟.科学看待中医药治疗非创伤性股骨头坏死[J].中华关节外科杂志:电子版,2013,7(3):284-286.
[12] 赵瑜,彭景华,冯琴,等.中医证候客观化研究进展[J].中华中医药杂志,2011,26(11):2638-2641.
[13] 陈镇秋,何伟,魏秋实.股骨头坏死中医证型与血液学指标的关系研究[J].中医正骨,2013,25(3):35-40.
[14] 鲁超,马凰富,张兵,等.非创伤性股骨头坏死的中医证候特点研究[J].中华中医药杂志,2014,29(7):2189-2193.
[15] 陈卫衡,刘道兵,张洪美,等.股骨头坏死的三期四型辨证思路[J].中国中医基础医学杂志,2003,9(12):51-52.
[16] 陈卫衡.股骨头坏死的诊治误区与对策[J].中医正骨,2013,25(3):3-5.

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备注/Memo

备注/Memo:
2014-12-13收稿 2015-01-27修回
基金项目:国家自然科学基金项目(81173417); 中国中医科学院特色诊疗技术与方法研究项目(ZZ070864)
通讯作者:陈卫衡 E-mail:drchenweiheng@163.com
更新日期/Last Update: 2015-04-30