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膝骨关节炎患者局部病性证素与整体舌象参数关系的研究
引用本文:薛艳,段敬瑞,王学宗,丁道芳,吴宇峰,顾思臻,郑昱新,曹月龙. 膝骨关节炎患者局部病性证素与整体舌象参数关系的研究[J]. 上海中医药杂志, 2018, 52(6): 15-18
作者姓名:薛艳  段敬瑞  王学宗  丁道芳  吴宇峰  顾思臻  郑昱新  曹月龙
作者单位:上海中医药大学附属曙光医院骨伤研究所;广州中医药大学中山附属医院关节科;上海中医药大学附属曙光医院传统中医科
基金项目:国家自然科学基金项目(81373665)
摘    要:目的探讨膝骨关节炎患者关节局部病性证素与舌象参数的关系。方法采用横断面研究方法,调查110例膝骨关节炎患者膝关节局部的中医症状,通过聚类分析概括局部的病性证素,同时应用"舌面脉信息采集体质辨识系统"中的舌部模块采集患者的舌质及舌苔参数,进而探讨关节局部病性证素与舌象之间的关系。结果 (1)通过聚类分析,关节局部病性证素可分为3个类型,即风性证素、寒性证素和湿性证素。(2)寒湿证素组与无风寒湿证素组比较,舌质的舌尖和舌根部L值以及舌根部b值差异有统计学意义(P0.05);寒湿证素组与无风寒湿证素组比较,舌苔的舌中以及舌根部b值差异有统计学意义(P0.05);结果提示,具有寒湿证素的膝骨关节炎患者舌尖及舌根部的舌质色泽更淡而亮,舌苔中根部的颜色更重,并有一定的化热趋势。结论膝关节局部病性证素与整体舌象参数,特别是舌中、根部的参数之间存在着较强的关联性,可以为临床辨治膝骨关节炎提供一定的客观依据。

关 键 词:膝骨关节炎  证素  舌象参数  聚类分析
收稿时间:2018-02-07

Study on relationship between local syndrome factors and overall tongue parameters in patients with knee osteoarthritis
XUE Yan,DUAN Jingrui,WANG Xuezong,DING Daofang,WU Yufeng,GU Sizhen,ZHENG Yuxin and CAO Yuelong. Study on relationship between local syndrome factors and overall tongue parameters in patients with knee osteoarthritis[J]. Shanghai Journal of Traditional Chinese Medicine, 2018, 52(6): 15-18
Authors:XUE Yan  DUAN Jingrui  WANG Xuezong  DING Daofang  WU Yufeng  GU Sizhen  ZHENG Yuxin  CAO Yuelong
Affiliation:Institute of Orthopedics & Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China,Institute of Orthopedics & Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China,Institute of Orthopedics & Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China,Institute of Orthopedics & Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China,Department of Joint,Zhongshan Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 528400,China,Department of Traditional Chinese Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China,Institute of Orthopedics & Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China and Institute of Orthopedics & Traumatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200020,China
Abstract:
Keywords:knee osteoarthritis  syndrome factor  parameters of tongue manifestation  clustering analysis
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