216例痛风患者舌象分析

Analysis of Tongue Image in 216 Patients with Gout

目的:观察痛风患者的舌象特点。方法:对2016年12月至2017年8月于浙江中医药大学附属第二医院门诊就诊的216例痛风患者,按照痛风舌象评价表进行评价。根据其出现的频率及评分的高低,确定痛风患者舌象的总体特点,分析其规律。结果:216例患者中208例为男性,女性8例,男女比例26∶1;年龄16～88岁,平均(51.48±16.73)岁,其中16～30岁25例,31～50岁78例,51～70岁93例,71～88岁20例;病程3 d～40年,病程1年内(包括1年)的31例,1～10年149例,11～20年30例,20年以上6例。缓解期患者61例,急性期患者155例。痛风患者舌象的总体特点为:舌体胖大伴有齿痕及裂纹,其中胖舌88.89%,裂纹舌75.93%,齿痕舌87.04%;舌苔润滑81.48%,稍厚或偏厚80.09%,苔黄腻(以黄为主)94.91%,以轻中度的腻苔为主占93.98%;舌色相对偏红,以红和暗为主,占比为64.35%。结论:舌胖大伴齿痕及裂纹、质润滑、苔黄腻稍厚是痛风患者舌象的主要特点。

Objective:To observe the features of tongue image in patients with gout. Methods:According to the evaluation scale of the tongue image,we evaluated total 216 patients with gout who were enrolled in the Second Affiliated Hospital of Zhejiang Chinese Medical University from Dec. 2016 to Aug. 2017. According to the frequency of occurrence and the grade of score,we determined the overall characteristics of tongue images in patients with gout and analyzed their pattern rules. Results:There were total 216 patients:208 cases of male,8 cases of female;the male to female ratio was 26∶1;age ranged between 16 to 88 years old,and the average age was 51.48 ±16.73,there were 25 cases of 16 ~30 years old,78 cases of 31 ~50 years old,93 cases of 51 ~70 years old,and 20 cases of 71 ~88 years old. The course of disease ranged from 3 days to 40 years,and there are 31 cases within 1 years(including 1 years),149 cases in 1~10 years,30 cases in 11~20 years,and 6 cases over 20 years. There were 61 cases in catabasis,155 cases in acute stage. The overall characteristics of tongue image in patients with gout:the tongue is enlarged and has teeth marks and cracks. Among them,the enlarged tongue accounted for 88.89%,cracked tongue accounted for 75.93%,and teeth marked tongue accounted for 87.04%. And 81.48% of the tongue coating is lubricated,and 80.09% of the coating is slightly thicker or thicker. Yellowish greasy tongue accounted for 94.91%,light to moderate greasy fur accounted for93.98%. The tongue color is relatively red,which mainly red and dark,accounted for 64.35% of total. Conclusion:The main features of tongue image in patients with gout are enlarged tongue with teeth marks and cracked lubricant slightly thicker yellow greasy fur.