摘要
目的:分析不同分期口腔癌患者的舌象分布特点,并对其规律进行探讨,为临床辨证提供依据。方法:选取2012年1月至2014年7月在四川省中医院门诊及病房诊治的口腔癌患者作为观察对象,据其临床分期将所有患者分为早中期、晚期两组,记录每位患者的舌质、舌形、舌苔及舌下脉络,统计各期口腔癌患者的舌象分布情况。结果:早中期口腔癌患者舌象主要表现为红舌(30.77%)、裂纹舌(30.77%)、黄厚/腻苔(30.77%);而晚期口腔癌患者舌象主要表现为青紫舌(33.33%)、胖大舌(42.86%)、白厚/腻苔(42.86%);多数患者有不同程度的舌下脉络增粗迂曲。结论:口腔癌患者舌象主要表现早中期以红舌、裂纹舌、黄厚/腻苔为主,而晚期则以青紫舌、胖大舌、白厚/腻苔为主,舌下脉络增粗迂曲是晚期口腔癌患者的典型表现。
Objective： To analyze the tongue manifestations in patients with oral cancer in different stages,and to investigate the pattern so as to provide a basis for the clinical syndrome differentiation. Methods： All patients with oral cancer who were diagnosed and treated in the outpatient and inpatient departments of Sichuan Provincial Hospital of Traditional Chinese Medicine from January 2012 to July 2014 were divided into early and middle stage group and advanced stage group according to the clinical stage. The tongue nature,tongue shape,tongue coating,and sublingual veins of all patients were recorded,and the tongue manifestations of patients with oral cancer in different stages were statistically analyzed. Results： The patients with oral cancer in the early and middle stage had the following tongue manifestations： red tongue（ 30. 77%）,fissured tongue（ 30. 77 %）,（ 30. 77%）; while the patients with oral cancer in advanced stage had the following tongue manifestations： purplish tongue（ 33. 33%）,swollen tongue（ 42. 86%）,and white and thick or greasy tongue coating（ 42. 86%）,and the majority of patients had different degrees of thickened and tortuous sublingual veins. Conclusion： The tongue manifestations of patients with oral cancer are very different： red tongue,fissured tongue,and yellow and thick or greasy tongue coating as the majority of tongue manifestations in patients with oral cancer in early and middle stage; while purplish tongue,swollen tongue,and white and thick or greasy tongue coating as the majority of tongue manifestations in patients with oral cancer in advanced stage. Thickened and tortuous sublingual vein is a typical manifestation of patients with oral cancer in advanced stage.
出处
《湖南中医杂志》
2015年第3期4-6,共3页
Hunan Journal of Traditional Chinese Medicine
关键词
口腔癌
分期
舌象
分布特点
oral cancer
stage
tongue manifestation
distribution characteristics
