非创伤性股骨头坏死的舌象定量研究

Quantitative study on tongue manifestation of patients with nontraumatic osteonecrosis of femoral head

目的:探讨定量采集分析舌象特征在非创伤性股骨头坏死中医辨证中的应用价值。方法:采用DS01-B舌面诊测信息采集仪采集分析273例非创伤性股骨头坏死患者的舌象信息,对所获得的舌象信息进行聚类分析,同时分析非创伤性股骨头坏死国际骨循环研究会(Association Research Circulation Osseous,ARCO)分期与舌象特征的关系。结果:273例患者共涉及18项舌象信息,舌色以淡紫、暗红、淡红为主;舌形以胖、齿痕、裂纹为主;苔色以白、灰黑、黄白相兼为主;苔质以薄苔、腻苔为主。经聚类分析,最终将273例非创伤性股骨头坏死患者的舌象分为3类。第1类,舌胖、苔薄白;第2类,舌暗红或淡紫、苔黄白相间;第3类,舌淡红,有齿痕、裂纹,苔厚、腻或少苔、无苔,颜色灰黑。ARCOⅠ期患者舌色为淡紫、舌形为胖、苔色为灰黑、苔质少;ARCOⅡ、Ⅲ期患者舌色以暗红、淡紫、淡红为主,舌形以胖为主,苔色以白为主,苔质以薄苔为主;ARCOⅣ期患者舌色以暗红为主,舌形以胖、齿痕为主,苔色以黄白相兼、灰黑为主,苔质以薄苔为主。结论:通过舌面诊测信息采集仪定量采集分析的舌象信息可准确反映非创伤性股骨头坏死患者的舌象特征,可作为非创伤性股骨头坏死的中医辨证依据。

Objective：To explore the applied value of quantitative analysis of characteristics of tongue manifestation in TCMsyndrome differentiation of nontraumatic osteonecrosis of femoral head（NONFH）.Methods：The tongue manifestations of 273 patients with NONFH were collected and analysed by using DS01 -B lingual surface diagnostic information acquisition instrument,and cluster analysis was per-formed to analyze acquired information on tongue manifestation.Meanwhile,the relationship between characteristics of tongue manifestation and clinical stage of NONFH issued by Association Research Circulation Osseous（ARCO）were also analysed.Results：Eighteen pieces of information on tongue manifestation were found in 273 patients.The tongue colors were mainly pale purple,dark red and pale red.The tongue form were mainly fat,teeth-marked and fissured.The fur colors were mainly white,gray-black and yellow-white.The fur texture were mainly thin and slimy.The result of cluster analysis showed that tongue manifestations of 273 patients with NONFH were finally divided into three categories：（1）the tongue form were fat and the tongue furs were thin and white;（2）the tongue colors were dark red or pale purple and the tongue fur were yellow-white;（3）the tongue colors were pale red,and the tongue form were teeth-marked and fissured,and the fur texture were thick-slimy or presented with little or no tongue fur and gray-black tongue fur.For patients categorized as ARCO phaseⅠ,the tongue colors were pale purple,the tongue form were fat,the fur colors were gray-black,and the fur texture were thin.For patients catego-rized as ARCO phaseⅡand Ⅲ,the tongue colors were mainly dark red,pale purple and pale red;the tongue form were mainly fat;the fur colors were mainly white;and the fur texture were mainly thin.For patients categorized as ARCO phase Ⅳ,the tongue colors were mainly dark red,the tongue form were mainly fat and teeth-marked,the fur colors were mainly yellow-white and gray-black,and the fur texture were mainly thin.Conclusion：The information on tongue manifestation collected and quantitative analyzed by using lingual surface diagnostic in-formation acquisition instrument can accurately reflect the characteristics of tongue manifestation of patients with NONFH,so it can be used as the basis of TCMsyndrome differentiation of NONFH.