摘要
目的：探讨不同舌象在大肠癌患者中的分布及其意义。方法：以病理学确诊的大肠癌患者173例为研究对象,根据临床分期回顾性分为Ⅰ-Ⅱ（早中期）和Ⅲ-Ⅳ（晚期）两组,记录两组的舌象特点,包括舌苔、舌质、舌形等,比较Ⅰ-Ⅱ和Ⅲ-Ⅳ期患者舌象特点、分布频率有无差异及其与预后的关系。结果：Ⅰ-Ⅱ期大肠癌黄腻苔（47.6%）、淡红舌（52.4%）和裂纹舌（40.5%）最为多见,Ⅲ-Ⅳ期以白腻苔（51.1%）、紫色舌（67.2%）和胖大舌（51.9%）最为常见,分布频率比较差别有统计学意义（P〈0.05）;同时具有淡红舌、黄腻苔和裂纹舌特点者16例,中位生存时间为38.8个月;同时具有白腻苔、紫色舌和胖大舌46例,中位生存时间为21.1个月;两组中位生存时间差别有统计学意义（HR=0.42,95%CI：0.24～0.92,P〈0.05）。结论：大肠癌不同分期舌象特点存在差异,可作为判断预后的参考。
Objective To evaluate the clinical significance of different tongue images in patients with colorectal cancer. Methods One hundred and seventy three patients with pathology confirmed colorectal can- cer were retrospectively included in this study. According to clinical staging, the cases were divided into ear- ly-stage group and late-stage group. The features of tongue such as coating, texture, and shape were analyzed and compared between the two groups. Results The tongue features of yellow greasy moss （47.6%）, reddish tongue （52.4%） and crack tongue （40.5%） were frequent in early-stage patients. White greasy moss （47.6%）, purple tongue （67.2%） and plump tongue （51.9%） were frequent in late-stage patients. There was statistical differ ence in the distribution （P 〈 0.05）. The median survival time was 38.8 months for patients with yellow greasy moss, reddish tongue rack tongue and was 21.1 months for those white greasy moss, purple tongue, plump tongue （HR=0.42, 95%CI：0.24-0.92, P 〈 0.05）. Conclusion There are differences in the characteristics of tongue image in different stages of colorectal cancer, which can be used as a reference for prognosis.
出处
《中国中西医结合外科杂志》
CAS
2016年第6期528-531,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
大肠癌
临床分期
舌象
预后
Colorectal cancer
clinical stage
tongue image
prognosis
