114例胃癌患者舌象分析

Study on the Tongue Pictures of Gastric Cancer Patients:A Report of 114 Cases

目的探讨胃癌患者舌象特点。方法观察组选择未做相关治疗的胃癌患者114例,对照组分别选择健康体检者80例和胃溃疡患者75例、萎缩性胃炎患者32例、单纯型浅表性胃炎患者122例。按照中医传统的望诊方法观察舌象,并应用数码相机拍摄、制成ICC文件,记录观察结果并进行统计学分析。结果胃癌组红、绛舌发生率为49.12%,与健康组比较差异有统计学意义(P<0.05);与胃部良性疾病对照组患者比较差异无统计学意义(P>0.05)。胃癌组青紫舌、胖大舌发生率分别为21.93%、22.80%,与其他各组比较差异有统计学意义(P<0.05)。胃癌组淡白舌发生率为23.68%,与萎缩性胃炎组比较差异无统计学意义(P>0.05),与其他各组比较差异有统计学意义(P<0.05)。胃癌组舌苔以腻苔为主,主要是白腻苔和白厚腻苔,发生率分别为21.93%、26.32%,前者与健康组比较差异有统计学意义(P<0.05);与其他各组比较差异无统计学意义(P>0.05);胃癌组舌面外周部少苔或无苔发生率40.35%,与其他各组比较差异有统计学意义(P<0.05)。结论胃癌患者易发生青紫舌、淡白舌、胖大舌,舌苔以白腻、白厚腻苔为主,舌面外周部少苔或无苔,对胃癌的诊断、治疗也有很大意义。

Objective To investigate the characteristics of tongue pictures of gastric cancer patients.Methods The observation group consisted of 114 gastric cancer patients who didn＇t accept any relevant treatment,while the control groups consisted of 80 healthy persons,75 common gastric ulcer patients,32 atrophic gastritis patients,and 122 simple superficial gastritis patients.Their tongue pictures were inspected according to traditional Chinese inspection diagnostics and recorded in ICC documents using a digital camera.Results The incidence rate of red or deep-red tongue was 49.12% in the observation group,compared with the healthy group,the difference was significant（P0.05）,but there was no significant difference in comparing with the control groups（P0.05）.The incidence rate of purple tongue and swollen tongue was 21.93% and 22.80% respectively in the cancer patients,showing significant difference when compared with the control groups（P0.05）.The incidence rate of pale tongue was 23.68% in the cancer patients,showing no significant difference compared with the atrophic gastritis group（P0.05）,however,there was statistical difference in the comparison with the other control groups（P0.05）.The tongue coating in the observation group was mainly of greasy coating,and the incidence rate of white greasy coating and white thick greasy coating was 21.93% and 26.32% respectively.The incidence of white greasy coating of the observation group showed significant difference compared with that of the healthy group（P0.05）,although there was no significant difference compared with the other control groups（P0.05）.The incidence rate of tongue periphery having less coating or no coating was 40.35% in the observation group,and there was significant difference compared with all control groups（P0.05）.Conclusion The tongue and tongue coating of the gastric cancer patients demonstrate regular features and patterns,which have important reference value for the diagnosis and treatment of gastric cancer.