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[1]任芳华,王思雨,蔡骏.不同营养状态胃肠肿瘤患者中医客观化舌象特征探究[J].环球中医药,2016,9(09):1033-1037.[doi:10.3969/j.issn.1674-1749.2016.09.001]
　REN Fang-hua,WANG Si-yu,CAI Jun..The exploration of the characteristics of tongue image of gastrointestinal cancer patients with different nutritional status[J].,2016,9(09):1033-1037.[doi:10.3969/j.issn.1674-1749.2016.09.001]
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不同营养状态胃肠肿瘤患者中医客观化舌象特征探究()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第9卷
期数:
2016年09期
页码:
1033-1037
栏目:
论著
出版日期:
2016-09-06

文章信息/Info

Title:
The exploration of the characteristics of tongue image of gastrointestinal cancer patients with different nutritional status
作者:
任芳华; 王思雨; 蔡骏
200032 上海中医药大学附属龙华医院临床营养科
Author(s):
REN Fang-hua;  WANG Si-yu;  CAI Jun.
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
关键词:
胃肠肿瘤;  营养状态;  中医客观化舌象
Keywords:
Gastrointestinal tumor;  Nutritional status;  Objective tongue of traditional Chinese medicine
分类号:
R259
DOI:
10.3969/j.issn.1674-1749.2016.09.001
文献标志码:
A
摘要:
目的 探讨不同营养状态胃肠肿瘤患者中医客观化舌象特征。方法 选择胃肠肿瘤化疗患者161例,其中胃癌患者83例,大肠癌患者78例。对纳入患者进行营养风险筛查和营养状态评定,采集舌象,分析不同营养状态胃肠肿瘤化疗患者中医客观化舌象特征。结果 两组营养风险比较差异有统计学意义(P＜0.05),即胃癌营养风险高于大肠癌,两组营养状态比较差异无统计学意义(P＞0.05)。胃癌患者不同营养风险的舌形指数比较差异无统计学意义(P＞0.05); 不同营养状态的瘀斑指数比较差异有统计学意义(P＜0.05),重度营养不良组瘀斑程度高于营养良好组和中度或可疑营养不良组。大肠癌患者不同营养风险的瘀斑指数差异有统计学意义(P＜0.05),即存在营养风险的患者瘀斑程度高; 不同营养状态的齿痕指数差异有统计学意义(P＜0.05),重度营养不良组齿痕程度高于营养良好组和中度或可疑营养不良组。不同营养风险胃肠肿瘤患者苔质厚薄指数差异无统计学意义(P＞0.05); 不同营养状态的苔质厚薄指数差异有统计学意义(P＜0.01),经线性趋势检验,存在线性相关(P＜0.01),即营养状态越差,苔质越薄。结论 胃肠肿瘤化疗患者存在较高营养风险,且营养不良发生率高,胃癌患者营养风险高于大肠癌。中医客观化舌象能反映胃肠肿瘤患者的不同营养风险或营养状况,营养风险或营养状态差的患者主要表现为气虚血瘀证。
Abstract:
Objective To explore the characteristic of tongue image of gastrointestinal cancer patients with different nutritional status. Methods 161 cases of gastrointestinal tumor chemotherapy patients were selected, including 83 cases of gastric tumor and 78 cases of colorectal cancer. Nutritional risk screening and nutritional status assessment of the patients were performed, and the tongue image was collected to analyze the characteristics of tongue image in patients with gastrointestinal cancer chemotherapy in different nutritional status. Results Nutritional risk difference between two groups had statistically significant(P＜0.05), the risk of gastric cancer was higher than that of colorectal cancer, there was no significant difference in nutritional status between the two groups(P＞0.05). There was no statistically significantce in tongue-shaped index of gastric tumor patients with different nutritional risk. There were significant differences in Yuban index(P＜0.05). Yuban index of severe malnutrition group was significantly higher than that of good nutrition group and moderate malnutrition group. There was statistical significance of Yuban index in different nutritional risk of patients with colorectal cancer(P＜0.05), that means a high degree of nutritional risk in patients with high degree of Yuban index. There was significant difference in the index of tooth marks in different nutritional status(P＜0.05). The degree of tooth mark in the severe malnutrition group was higher than that in the nutrition group and the moderate or suspected malnutrition group. There was no statistical significance of different nutritional risk in patients with gastrointestinal carcinoma of tongue fur thickness index. There were significant differences of tongue fur thickness index of nutritional status(P＜0.01), that is, the worse the nutritional status, the thinner the moss. Conclusions Gastrointestinal cancer chemotherapy patients with high nutritional risk, and the incidence of malnutrition is high, the risk of gastric cancer is higher than that of colorectal cancer. The objective tongue image can reflect the different nutritional risk or nutritional status of gastrointestinal cancer patients, the patients with nutritional risk or poor nutritional status of the main manifestations of qi deficiency and blood stasis.

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备注/Memo

备注/Memo:
基金项目: 国家中医药管理局中医肿瘤病学重点学科建设学科内立项课题(LHZLK-1111)
作者简介: 任芳华(1989- ),女,2013级在读硕士研究生。研究方向:消化道肿瘤。E-mail:angelrenfanghua@163.com
通讯作者: 蔡骏(1966- ),硕士,教授,主任医师,硕士生导师。研究方向:临床营养研究。E-mail:caijun509@163.com
更新日期/Last Update: 2016-09-06