中医舌诊与肠镜对照在结肠疾病诊断中的意义

Significance of Control Observation of Inspection of the Tongue in TCM and Colonoscopy in Diagnosis of Colonopathies

对1121例肠镜检查患者的舌象与肠镜诊断资料的观察发现,结肠疾病舌苔、舌质的变化与肠镜诊断各组的构成比之间有显著差异(P<O.05或P<0.01)。其舌苔以厚腻苦居多,其中又以黄厚腻苔为多,炎症组为80.1％;舌质以暗红、青紫比例较高。息肉组、恶性肿瘤组以暗红舌、青紫舌为多见,与正常组比较有显著差异(P<0.05或P<0.01)。提示中医舌诊对结肠疾病在肠镜诊断中有一定意义。

From the data of inspection of the tongue and colonoscopy in 1121 cases it was found that in changes of tongue coating and tongue proper, and colonoscopy were significant differences (P <0. 05 P<0. 01). Among them, most tongue coating was thick and greasy with yellow, thick and greasy tongue coating as majority: in the inflammation group it was as high as 81. 1%. In the polyp group and malignant tumor group, most patients' tongue proper were dark -red and green -purple color, with significant difference (P<0. 05 or F<0. 01) as compared with the normal group. It is suggested that inspection of the tongue in TCM has a certain significance in colonoscope diagnosis of colonopathies.