慢性胃炎的舌象研究

Study on the picture of the tongue in patients with chronic gastritis

目的:为探讨慢性胃炎舌象变化,总结慢性胃炎四诊的客观依据,自1991年3月至1992年2月对97例慢性胃炎(CG)患者舌象进行了观察。方法:根据诊断标准,经胃镜检查确诊,在自然光线下观察舌质舌苔变化,并与15例健康人作对照。结果:CG与正常人舌象比较,正常人舌质多淡红(14/15),舌苔多薄白(13/15)。慢性浅表胃炎(CSG)舌质淡红、淡与舌质红约占50％,至慢性浅表萎缩性胃炎(CSAG)和慢性萎缩性胃炎(CAG)舌淡红者不足30％,主要为红舌。舌苔变化各类胃炎综合统计薄白苔的占1/6,大多为薄黄苔或黄腻苔或舌红光剥少苔。经统计学处理正常与CSG比较P<0.05,与CAG及CSAG比较均为P<0.01,差导非常显著。结论:通过舌质舌苔变化为CG的早期诊断提供了客观依据。

AIM Changes of the picture of the tongue in patients with chronic gastritis(CG)were observed.METHODS Ninety-seven patients were diagnosed with endoscope,whose picture of the tongue were observed under natural sunlight and compared with that of 15 normal persons.RESULTS Mostly,the normal tongue property was pink(14/15),fur was thin and white(13/15),while the tongue property of patients with chronic superficial gastritis(CSG)was pink and pale,which consisted of 50% respectively.In patients with superficial atrophic gastritis(CSAG)and chronic atrophic gastritis(CAG),the tongue property was mainly red,pink tongue was less than 30%.There was significant difference between the normal person and the patients with CG(CSG:P<0.05,CSAG and CAG P< 0.01).CONCLUSIONS Changes of the tongue property and fur provide objective evidence for early diagnosis on CG.