青紫舌与血小板高聚集性关系的初步探讨

在正常人中随年龄增长,血小板聚集性增高,同时青紫舌的发生率增高;在血管性疾病患者中聚集性和青紫舌均显著高于对照组。两者的变化呈显著正相关。研究表明血小板聚集性增高与青紫舌形成有关,并有一定临床价值。

A Preliminary Study of the Relationship Between Purple Tongue and the Hyperaggregability of Platelet

The platelet aggregation was measured in 22 healthy adults,22 healthy elders,30 patients with transient cerebral ischemia and 44 patients with diabetes mellitus;meanwhile the tongue appearance of these subjects was observed.The platelet aggregation was measured with four methods,i.e.by means of aggregation by aggregating agents,spontaneous aggregation, circulating platelet aggregates and platelet electrophoresis. The results of this study showed that the platelet aggregation and the incidence of purple tongue were significantly higher in the healthy elders than those in the healthy adults.The platelet aggregation and the incidence of purple tongue were significantly higher in the patients with diabetes mellitus or transient cerebral ischemia than those in the control groups. The changes of platelet aggregation had significant correlation with the changes of tongue substance either in the healthy subjects or in the patients with diabetes mellitus or transient cerebral ischemia. The results reported here suggests that the formation of purple tongue is related to the hyperaggregability of platelet.Measurement of platelet aggregation and inspection of the tongue are useful methods in the diagnosis and treatmeat of blood stasis syndromes.Finally, the authors lay emphasis on the practical value of these methods in the clinical medicine.