复发性口咽溃疡的舌印片观察及其临床意义

Observation on the Imprints of Tongue of Recurrent Orapharyngeal Ulcers and its Clinical Significance

采用自拟中药方治疗复发性口咽溃疡36例,同时作舌印片检查。结果:36例中有29例完成全疗程,显效18例(62.07%);有效7例(24.14%);无效4例(13.79%);总有效率86.21%。治疗前舌印片6项指标阳性率 B 组显著高于 A 组,与病情相符,说明舌印片可反映病情轻重。治疗后两组舌印片6项指标阳性率均下降,提示舌印片检查有助于判断疗效及估计预后。

In this article 36 cases of recurrent orapharyngeal ulcers were differentiated according to the local condition of the orapharyngeal ulcerations,tongue pictures,pulse feeling and other signs and symptoms.The authors considered this disease as the deficiency syndrome accompanied with the excess syndrome.The three steps for treatment were:Treating the Biao(标,secondary)aspect for emergency,then simultaneous treatment of Biao and Ben(本,primary),and lastly reinforcing the body resistance.The course of treatment lasted three months.The whole effective rate was 86.21%. The patients were divided into A and B groups according to the situation,the area the amount and the deep degree of orapharyngeal ulcerations.The result of observation on exfoliated cells by imprints of tongue of two groups,The positive rates of six indices in the imprints of tongue of B group were higher than those of A group obviously(P<0.05～0.005).It conformed to the serious condition of the patients of B group,in which the number and area and deep degree of ulcers were more and larger and deeper,and their distributions were often involved in pharynx and larynx. Therefore the observation of the imprints of tongue may pre-indicate the conditions of the illness which will get better or worse.A comparison of before-and after-treatment showed that positive rates of all indices were reduced markedly(P<0.05～0.005).It proved that the observation of tongue picture by the imprint was more sensitive and exact than by the naked eye.It was proved beneficial to evaluating the therapeutic effect and prognosis.