急性脑梗死患者舌苔与临床病情的相关性分析

The Correlation Analysis of Acute Cerebral Infarction Patients′ Tongue Coat and Clinical Condition

目的观察急性脑梗死患者舌苔与临床病情、预后的相关性。方法急性脑梗死患者210例,采用舌像采集仪采集舌象,舌象分析软件进行中医舌象分析。重点观察并分析舌苔与神经功能缺损程度、中脏腑经络、临床转归的关系及不同苔色舌苔面积与神经功能缺损关系。结果急性期脑梗死患者苔质以润滑苔、腻苔占大多数,苔色以白苔、黄苔占优势。随神经功能缺损程度的加重,薄苔、润滑苔、白苔的比例不断减少,厚苔、燥苔、黄苔的比例不断增高,单一苔色的舌苔面积不断递增。随着病情的好转,薄苔、润滑苔、白苔的比例不断提高,厚苔、燥苔、黄苔、剥落苔的比例不断降低。结论舌苔的变化对中风病邪性质的判断、病情轻重的评估、治疗效果的评价及预后的判断具有重要的临床意义。中风急性期舌苔薄、润滑、白者,病情轻,预后好;舌苔厚、燥、黄者病情重,预后差。相同苔色下,舌苔面积越大,病情越重。

Objective：To observe the correlation analysis of acute cerebral infarction patients＇ tongue coat and clinical condition and prognosis.Methods：210 patients with acute cerebral infarction were confirmed for observation,gathering tongue pictures with tongue picture-acquisition instrument,and analyzing tongue pictures by using traditional Chinese medicine theory with tongue picture-analysis software.the observation was mainly about the relations of tongue and the degree of neural ability defect,attack on meridians and attack on viscera,clinical outcome,and the relations of the tongue area with different fur color and the degree of neural ability defect;then the results were compared and analyzed.Result：In 210 cases of patients with acute cerebral infarction,moist and slippery fur was based on the tongue fur nature,white fur and yellow fur were dominent in the tongue color.Thin fur,moist and slippery fur and white fur reduced and thick fur,dry fur and yellow fur increased with exacerbation of the degree of neural ability defect.The area of tongue of single fur color increased with exacerbation of the degree of neural ability defect.Thin fur,moist and slippery fur and white fur were rising and thick fur,dry fur and yellow fur were declining with prognosis advancing.A peeled tongue coating was rising with prognosis being poor.Conclusion：The changes of tongue coat are of clinical significance for the judgment of stroke sickness nature,the evaluation of severity of condition failures,the estimation of therapeutic effects and the judgment of prognosis.In acute stage of stroke,phlegm and evil heat are primary;patients＇ condition is light and prognosis is fine with thin,moist and slippery,and white fur;the condition of patients with thick,dry and yellow fur is severe and prognosis is bad.The larger the areas of tongue,the more serious the illness is as for the same tongue color.