| 摘要: |
| ［摘要］ 目的 分析特应性皮炎(AD)患者的舌象图像特征与中医证型的关联性。方法 选择2018年3月至2020年10月广西中医药大学第一附属医院皮肤科门诊收治的AD患者130例作为病例组，另选择同期健康体检者40名作为对照组。采集研究对象舌象图像，获得了其红绿蓝（RGB）值和色调-饱和度-强度（HSI）的色调（H）值，并分析这些特征值与中医证型的关联性。结果 130例AD患者中脾虚湿盛型49例（37.69%），湿热内蕴型45例（34.62%），血虚风燥型36例（27.69%）。血虚风燥型组、脾虚湿盛型组和湿热内蕴型组的R分量值显著小于对照组（P<0.05）。血虚风燥型组的R分量值和B分量值均大于脾虚湿盛型组和湿热内蕴型组，差异有统计学意义（P<0.05）。湿热内蕴型组H值显著小于对照组（P<0.05）。四组G分量值比较差异无统计学意义（P>0.05）。结论 舌诊图像参数R、G、B分量值及H值可作为AD辨证分型的客观指标，有一定的临床意义。 |
| 关键词: 特应性皮炎 中医证型 舌象 |
| DOI：10.3969/j.issn.1674-3806.2021.08.10 |
| 分类号:R 275.1 |
| 基金项目:国家自然科学基金面上项目（编号：81660728） |
|
| Analysis of the correlation between tongue image features and Traditional Chinese Medicine syndromes in patients with atopic dermatitis |
|
LI Yan-fang, WU Zhi-hong
|
|
Guilin Rehabilitation and Recuperation Center of Chinese People′s Liberation Army Joint Logistic Support Force, Guangxi 541002, China
|
| Abstract: |
| ［Abstract］ Objective To analyze the correlation between tongue image features and Traditional Chinese Medicine(TCM) syndromes in patients with atopic dermatitis(AD). Methods A total of 130 AD outpatients from the dermatology clinic of the First Affiliated Hospital of Guangxi University of Chinese Medicine during March 2018 and October 2020 were selected as the case group, and 40 healthy subjects receiving physical examination were selected as the control group during the same period. The tongue images of the research subjects were collected, and the red-green-blue(RGB) value and the hue(H) value of hue-saturation-intensity(HSI) of the tongue images were obtained. The correlation between these feature values and TCM syndromes was analyzed. Results The 130 AD patients included 49 cases(37.69%) of spleen-deficiency and dampness-storage type,45 cases(34.62%) of damp-heat accumulation type,and 36 cases(27.69%) of blood-deficiency and wind-dryness type. The R component values of the blood-deficiency and wind-dryness type group, the spleen-deficiency and dampness-storage type group and the damp-heat accumulation type group were significantly lower than those of the control group(P<0.05). The R component value and B component value of the blood-deficiency and wind-dryness type group were greater than those of the spleen-deficiency and dampness-storage type group and the damp-heat accumulation type group, and the differences were statistically significant(P<0.05). The H value of the damp-heat accumulation type group was significantly lower than that of the control group(P<0.05). There was no statistically significant difference in the G component value among the four groups(P>0.05). Conclusion It has certain clinical significance to use the R, G, B component values and H value of the tongue diagnosis image parameters as the objective indicators of the dialectical classification of AD. |
| Key words: Atopic dermatitis(AD) Traditional Chinese Medicine(TCM) syndromes Tongue image |
