基于属性偏序原理的老年2型糖尿病患者舌象特征研究

Research on Tongue Features of Elderly Type 2 Diabetes Patients Based on Attribute Partial Order Principle

目的分析老年2型糖尿病患者舌象,为探讨老年2型糖尿病核心病机及指导治疗提供依据。方法选择2019年7—10月昆明市官渡区吴井社区卫生服务中心老年2型T2DM患者300例为研究对象,采用舌面脉信息采集体质辨识系统采集患者舌象,运用燕山大学的数据挖掘技术,形成属性偏序结构图,进行知识分析及发现。结果 300例老年T2DM患者舌色以淡红或暗红为主,舌边多齿痕,舌形多胖大或为裂纹舌,苔色多薄白,苔质多腻。结论老年T2DM患者肾气亏耗,多虚多瘀,脾虚湿邪内蕴。提示在T2DM患者的临床治疗中应在辨证施治的基础上兼顾脾肾,根据舌象变化辅以活血化瘀之品。

Objective To analyze the tongue picture of elderly patients with type 2 diabetes, and provide basis for exploring the core pathogenesis of elderly type 2 diabetes and guiding treatment. Methods From July to October 2019,300 elderly type 2 T2 DM patients from Wujing Community Health Service Center, Guandu District, Kunming City were selected as the study subjects.Tongue, facial pulse information collection and physique identification system were used to collect the patient’s tongue picture. Use the data mining technology of Yanshan University to form the attribute partial order structure diagram for knowledge analysis and discovery. Results The tongue color of 300 elderly patients with T2 DM was mainly light red or dark red. There were many tooth marks on the side of the tongue, and the shape of the tongue was fat or cracked. The color of the moss was thin and white, and the texture of the moss was greasy. Conclusion Elderly patients with T2 DM have kidney qi depletion, multiple deficiency and blood stasis, and spleen deficiency and dampness. It is suggested that in the clinical treatment of T2 DM patients, the spleen and kidney should be considered on the basis of syndrome differentiation and treatment, supplemented by blood circulation and blood stasis removal products according to the changes of the tongue.