哮喘患者不同证候舌面参数特征及其与肺功能的相关性研究

Correlation study on the tongue and complexion parameters characteristic of different syndromes in patients with asthma and pulmonary function

目的:观察支气管哮喘患者不同证型组的舌面参数及肺功能指标的变化,以期为支气管哮喘的临床诊疗提供客观依据。方法:利用中医舌面象一体仪、肺功能仪采集157例支气管哮喘患者舌面参数及肺功能指标,利用单因素方差分析等方法,分析其舌面参数和肺功能指标的变化规律。结果:哮喘患者不同证型组舌体子区域及面色均有显著变化的参数。哮喘患者不同证型组肺功能指标用力肺活量预测值(FVC%)、第1秒钟用力呼气量预测值(FEV1.0%)值有统计学差异(P<0.05)。哮喘患者的FEV1.0%值与舌色左部H值呈正相关;与鼻子H值、面色整体H值呈负相关。结论:中医舌面象客观化检测及肺功能检测可为支气管哮喘中医证候诊断提供有效的依据。

Objective： Observation of the changes of tongue parameters of different syndromes in patients with asthma and pulmonary function indexes, to provide objective reference for the clinical diagnosis and treatment of bronchial asthma. Methods： The tongue parameters and pulmonary function indexes from 157 cases of patients with bronchial asthma were collected by TCM tongue diagnosis instrument and pulmonary function instrument. The changes of tongue parameters and pulmonary function indexes were analyzed by one-way analysis of variance method. Results： There were obvious changes for different syndromes patients with bronchial asthma in parameters of tongue sub-region and complexion. There were differences in pulmonary function indexes FVC% and FEV1.0% among different syndrome groups （P〈0.05）. There was a positive correlation between the FEV1.0% value and the H value on the left tongue color among patients with bronchial asthma. While, there was a negative correlation between the FEV1.0% value and H value of nose color and the H value of the whole complexion, respectively. Conclusion： The objectification detection of TCM tongue picture and complexion and pulmonary function test can provide some effective references for the TCM syndrome diagnosis of asthma.