SARS患者舌象与外周血象的相关性分析

Correlation analysis between the characteristics of tongue and peripheral hemogram in SARS patients

目的 :了解严重急性呼吸综合征 (SARS)患者的临床特征及中医证候演变规律 ,探讨舌象特点与血象变化之间的关系及舌象在防治 SARS中的作用。方法 :采用前瞻性方法对入院的 99例、170例次 SARS患者的临床表现、舌象照片、血象检查等临床资料进行归纳总结、统计分析。结果 :SARS患者白细胞计数、中性粒细胞比例与舌苔腐腻呈极显著正相关 (P<0 .0 1) ;淋巴细胞比例、嗜酸粒细胞比例、单核细胞比例与舌苦腐腻呈极显著负相关 (P<0 .0 1) ;嗜酸粒细胞比例与舌芒刺、裂纹、舌尖红呈极显著正相关 (P<0 .0 1) ;单核细胞比例与舌质老嫩、舌红、润燥、剥脱呈极显著正相关 (P<0 .0 1) ,与舌淡红呈极显著负相关 (P<0 .0 1) ;血小板计数与舌体瘦胖、裂纹呈显著正相关 (P<0 .0 5 ) ,与舌红、苔厚薄呈显著负相关 (P<0 .0 5 )。结论 :SARS患者的临床表现及舌象、血象有独特的改变 ,且舌象与血象之间具有一定的相关性 ,舌象的动态观察有助于及早提示病情变化 ,中医舌诊在 SARS诊疗中具有重要意义。

Objective: To observe the clinical characteristics of severe acute respiratory syndrome (SARS) and their traditional Chinese medicine(TCM) syndrome evolvement, and to investigate the relation of the characteristics of the SARS patients' tongues and the characteristics' change of the patients' blood, as well as the action of observing TCM tongue on preventing SARS. Methods: The clinical data of 90 SARS patients, including clinical syndromes, the photo of tongue, the examination of blood, and etc. were summed up and (analyzed) by perspective way. Results: There was a positive (correlation) between the SARS patients' white (blood) cell counts(WBC), neutrophil and curdy fur and greasy fur (P<0.01); a negative correlation between the WBC and thin fur, thick fur, light red tongue; a negative correlation between neutrophil and thin tongue, (enlarged) tongue; a negative correlation between lymphocyte, eosinophil, monocyte and curdy fur, creasy fur ((P<0.01)); a positive (correlation) between lymphocyte, thin tongue and enlarged tongue; a positive (correlation) between eosinophil and prickly tongue, tongue with fissures, red tip of the tongue (P<0.01); a positive (correlation) between monocyte and tough tongue, tender tongue, red tongue, moist fur, dry fur, and (denudated) fur(P<0.01); a negative correlation between monocyte and light red tongue(P<0.01); a positive (correlation) between blood platelet counts and tongue with fissures(P<0.05); a negative correlation between blood platelet counts and red tongue, thick or thin fur(P<0.05). Conclusion: SARS patients have unique (alterations) of clinical syndrome, tongue and blood. There exists some correlation between the characteristics of patients' tongues and blood. So the developing observation of the patients' tongues may help indicating the state of the illness as soon as possible. The TCM diagnosis of tongue is important in the SARS patients' (diagnosis) and treatment.