平和质者舌象和体检异常率比较及相关性分析

目的 比较平和质者的舌象异常及体检指标异常率,并探讨两者之间的相关性.方法 选取2010年6月至2011年12月于首都医科大学附属北京同仁医院体检中心进行健康体检的单位职工为研究对象,其中844名平和体质者.收集体检数据,纳入指标有体质指数（BMI）、血压、心电图、胸透/胸片、腹部B超（肝、胆、脾、双肾）及各项生化指标21项.由中医师判断舌象,比较男女性舌象异常及体检指标异常率,采用Logistic回归分析两者之间的关系.结果 平和体质者中,男性398名,平均（36.1±1 1.8）岁；女性446名,平均（36.4±10.8）岁,男性平和质检出率明显高于女性,差异有统计学意义（x2 =51.706,P＜0.05）.男性舌色、苔色、苔质的异常率均高于女性,其中男性苔质的异常发生率明显高于女性,差异有统计学意义（x2=21.396,P＜0.05）.平和质男性体检的正常率明显低于女性,差异有统计学意义（x2=19.661,P＜0.05）.单因素条件Logistic回归分析显示,暗红舌的出现同尿酸和三酰甘油异常相关（OR=2.012,95％ CI：1.225 ～3.304；OR=1.758,95％ CI：1.162 ～2.659）,腻苔的出现同天冬氨酸氨基转移酶和尿酸相关（OR=1.925,95％ CI：1.106 ～3.352；OR=1.936,95％ CI：1.217～3.079）,“暗红舌、腻苔”的出现与尿酸和三酰甘油异常相关（OR=2.913,95％ CI：1.398～6.068；OR=2.515,95％ CI：1.333 ～4.747）.结论 舌象和体检指标异常的平和质男性体检者可能处于亚健康状态,舌象异常与体检指标异常间存在相关性,在平和质的判定中加入舌诊有助于提高结果的准确性.

Correlation of tongue manifestation and abnormal checkup findings in adults of gentleness type

Objective To learn the relation of tongue manifestation with abnormal checkup findings in adults of gentleness type.Methods Clinical data of 844 individuals with gentleness constitution who took health checkup in our center during June 2010 and December 2011 were retrospectively collected,including body mass index （BMI）,blood pressure （BP）,electrocardiogram （EKG）,chest X-ray （X-ray）,abdominal ultrasound and 21 biochemical indictors.Tongue diagnosis was made by Chinese Medicine practitioners.Logistic regression analysis was used to find the correlation of tongue manifestation with abnormal findings.Results Gentleness constitution was confirmed in 398 males （average age （36.1 ± 11.8） years old） and 446 females （average age was （36.4 ± 10.8） years old） （x2 =51.706,P ＜ 0.05）.The rate of abnormal tongue manifestation was higher in males than that in females （greasy fur tongue：x2 =21.396,P＜0.05）.Normal health checkup results were more commonly seen in female adults （x2=19.661,P ＜ 0.05）.In single-factor conditional logistic regression analysis,dark red tongue was related to uric acid （odds ratio （OR） =2.012,95％ confidence interval （CI）：1.225-3.304） and triacylglycerol （OR =1.758,95％ CI：1.162-2.659） ; greasy tongue fur was related to aspartate aminotransferase （OR =1.925,95％ CI：1.106-3.352） and uric acid （OR =1.936,95％ CI：1.217-3.079） ; dark red and greasy fur tongue was related to uric acid （OR =2.913,95 ％ CI：1.398-6.068） and triacylglycerol （OR =2.515,95％ CI：1.333-4.747）.Conclusions Men of gentleness type who have abnormal tongue manifestation and health checkup findings may be in sub-health state.Tongue diagnosis could be helpful in determining individual＇s constitution.