原发性肝癌患者和健康人“正常舌象”的对比研究

Comparative study on normal tongue manifestation in patients with primary liver cancer and healthy adults

目的:通过对原发性肝癌患者和健康人“正常舌象”进行微观比较,为舌诊的微观辨证研究提供必要的临床资料。方法:运用舌尖微循环检查及舌苔脱落细胞染色法,对原发性肝癌患者和健康人中的“正常舌象”进行对比研究。结果:“正常舌象”在健康人组中更为常见(38.89%),而在原发性肝癌组中则较少见(2.32%)。原发性肝癌组“正常舌象”舌尖微循环总积分和舌苔脱落细胞成熟指数均明显高于健康人组(P<0.01,P<0.05)。结论:“正常舌象”在原发性肝癌患者和健康人中均可出现,但两者在微观上却存在明显差异。

Objective： To find out some microscopically visible morphological differences in normal tongue manifestation between patients with primary liver cancer and healthy adults, and provide some beneficial evidences for microcosmic syndrome differentiation of tongue inspection. Methods： Microcirculations of the tongue tip, which represented the macroscopical normal tongue manifestation, were observed under an optical microscope in patients with primary liver cancer and healthy adults. Exfoliated cells from tongue coating were examined by hematoxylin-eosin staining. Results： The proportion of normal tongue manifestation was larger in healthy adults （38.89%） than that in patients with primary liver cancer （2.32%）. The total score of microcirculation of tongue tip and the maturation index of exfoliated cells from tongue coating were both higher in patients with primary liver cancer than those in healthy adults with normal tongue manifestation （P〈0.01, P〈0.05）. Conclusion. Normal tongue manifestation, which is macroscopically visible, can be observed in both patients with primary liver cancer and healthy adults, but there exists obvious difference in microcosmic view.