口腔溃疡分布与脏腑辨证的关系探析

Relationship Between Distribution of Oral Ulcer and Zang-fu Viscera Syndrome Differentiation

【目的】探讨口腔溃疡分布与脏腑辨证的关系。【方法】收集2015年1月~2016年6月口腔溃疡患者65例,比较发生于舌及唇颊部位溃疡患者的情绪、饮食、睡眠、消化道病史和家族史,以及唇颊溃疡、舌尖溃疡及舌后缘溃疡的分布与脏腑辨证的相关性,并用统计软件SAS 9.2进行统计分析。【结果】(1)舌溃疡组焦虑患者的比例比唇颊溃疡组高(P<0.01),有消化道病史的比例也比唇颊溃疡组高(P<0.05)。(2)唇颊溃疡多与脾虚有湿或胃肠积热有关,舌尖溃疡多以心火上炎为主,舌后缘溃疡多以肝郁化火为主,3组间比较,差异均有统计学意义(P<0.01)。【结论】口腔溃疡的分布与脏腑辨证有关。

Objective To study the relationship between the distribution of oral ulcer and the syndrome differentiation of Zang-fu viscera. Methods We collected the data of 65 oral ulcer patients admitted in Stomatology Department,the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January of 2015 to July of 2016. The data of emotion,diet,sleep,history of digestive tract disease,and family history of the patients with tongue ulcer and the patients with labio-buccal ulcer were compared. The relationship of the distribution of labio-buccal ulcer,tongue-tip ulcer,and ulcer of lateral part of the tongue with Zang-fu viscera syndrome differentiation was analyzed by statistical software SAS 9.2. Results（1）Tongue ulcer group had higher incidence of anxiety and higher percentage of history of digestive tract disease than labio-buccal ulcer group（P〈0.01,P〈0.05）.（2）Labio-buccal ulcer mostly had a correlation with spleen deficiency blended with dampness or gastrointestinal accumulating heat, the tongue-tip ulcer mostly had a correlation with heart-fire flaring up,and the ulcer of lateral part of tongue mostly had a correlation with pathogenic fire derived from liver-qi stagnation, the difference among the 3 groups being statistically significant（P〈0.01）. Conclusion The distribution of oral ulcer has a correlation with Zang-fu viscera syndrome differentiation.