| 摘要: |
| [目的] 研究高血压病合并糖尿病患者与单纯高血压病患者的舌象区别及特点，进而为中西医诊断辨证提供参考。[方法] 对天津中医药大学第二附属医院心内科的高血压病患者、高血压病合并糖尿病患者进行临床流行病学调查，收集4 942例高血压病及合并病患者的基本信息与舌象特征评分等，分析患者的舌象区别及特点。[结果] 在两组患者的舌色分布中，红绛舌、瘀斑舌分布差异有统计学意义（P<0.05）；在两组患者的舌形分布中，点刺舌、裂纹舌分布差异有统计学意义（P<0.05）；在两组患者的苔色分布中，白苔和灰苔分布差异有统计学意义（P<0.05）；在两组患者的苔质分布中，薄苔、厚苔、少苔、剥苔、滑苔、腻苔分布差异有统计学意义（P<0.05）。[结论] 研究表明，高血压病患者与合并糖尿病患者的舌象分布特征具有一定差异，可以为临床中西医结合辨治此病提供参考。 |
| 关键词: 高血压病合并糖尿病 高血压病 舌象分布对比 |
| DOI：10.11656/j.issn.1673-9043.2025.10.03 |
| 分类号:R544.1 |
| 基金项目:国家重点研发计划项目（2017YFC1703305）；国家中医药管理局重点学科建设项目（zyyzdxk-2023008）；天津市卫生健康委员会中医药重点项目（2019007）。 |
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| Analysis of tongue manifestation characteristics in patients with hypertension complicated by diabetes mellitus |
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LI Yingxiang1, MENG Linghao1, CUI Huaixing1, LI Yonghui1, WANG Fei2, WANG Hongwu1, BU Huaien1
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1.School of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.Shandong University of Traditional Chinese Medicine, Jinan 250013, China
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| Abstract: |
| [Objective] To investigate the differences in tongue manifestations between patients with hypertension complicated by diabetes mellitus and those with hypertension alone,thereby providing a reference for diagnosis and syndrome differentiation in integrated traditional Chinese and Western medicine. [Methods] A clinical epidemiological study was conducted on patients from the Department of Cardiology,Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine. Basic information and tongue manifestation characteristics were collected from 4 942 patients with hypertension or hypertension complicated by diabetes,and the differences in tongue features were analyzed. [Results] Significant differences were observed in the distribution of tongue colors between the two groups,specifically in crimson tongue and petechial tongue(P<0.05). For tongue shapes,significant differences were found in prickled tongue and fissured tongue(P<0.05). Regarding coating color,significant differences were noted in white coating and gray coating(P<0.05). In terms of coating quality,significant differences were observed in thin,thick,scant,peeled,slippery,and greasy coatings(P<0.05). [Conclusion] The study indicates distinct differences in tongue manifestation characteristics between patients with hypertension alone and those with hypertension complicated by diabetes mellitus,which can provide valuable insights for the clinical diagnosis and treatment of this condition using an integrated traditional Chinese and Western medicine approach. |
| Key words: hypertension complicated by diabetes mellitus hypertension tongue manifestation comparison |
