摘要
目的基于图像数据观察慢性萎缩性胃炎患者的舌下络脉特征,并进行中医证型与舌下络脉特征的相关性分析。方法选取杭州市余杭区中医院慢性萎缩性胃炎患者256例,辨证分为5种中医证型,即脾胃湿热证(63例)、肝胃不和证(56例)、脾胃虚弱证(51例)、胃阴不足证(44例)、胃络瘀阻证(42例)。使用智能手机采集患者舌下络脉图像,采用计算机视觉与人工判读相结合的方法获取舌下络脉颜色RGB、HSV值,以及主干的颜色、长度、宽度、曲张程度、充盈度、兼见表现等舌下络脉形态特征指标,分析中医证型与舌下络脉特征的相关性。结果不同证型舌下络脉的主干的颜色、长度、宽度、曲张程度、充盈度、兼见表现存在差异,胃络瘀阻证R、G、B、V值低于其他证型,但积分值高于其他证型。经相关性分析,舌下脉络颜色与其参数R、G、B、V值均呈负相关(P<0.05)。胃络瘀阻证舌下络脉瘀阻程度相对于其他证型较高,脾胃虚弱证舌下络脉瘀阻程度比其他各证型低。结论舌下络脉客观化指标对慢性萎缩性胃炎反应灵敏,与中医学理论及临床结论基本一致,可作为疾病诊断的依据。
Objective To observe the characteristics of sublingual collaterals in patients with chronic atrophic gastritis based on image data;To conduct correlation analysis on TCM syndrome types and characteristics of sublingual collaterals.Methods Totally 256 patients with chronic atrophic gastritis who were treated in Hangzhou Yuhang District Hospital of Traditional Chinese Medicine were selected and divided into 5 TCM syndrome types,namely,spleen-stomach damp-heat syndrome(n=63),liver-stomach disharmony syndrome(n=56),spleen-stomach deficiency syndrome(n=51),stomach-yin deficiency syndrome(n=44),and stomach collateral obstruction(n=42).Sublingual collateral images of the patients were collected with a smartphone,and the RGB and HSV of the sublingual collaterals were obtained by combining computer vision and manual interpretation,as well as the sublingual collaterals morphological indicators such as the trunk color,length,width,varicose degree,filling degree,and other performance.The correlation between TCM syndrome types and characteristics of sublingual collaterals was analyzed.Results There were differences in the trunk color,length,width,varicose degree,filling degree,and concurrent manifestations of sublingual collaterals in different syndrome types.According to correlation analysis,there was a negative correlation between the color of sublingual collaterals and their parameters R,G,B,and V(P<0.05).But the integral value was higher than other syndrome types.TCM syndrome types were negatively correlated with R,G,B and V values(P<0.05).The degree of sublingual collateral stasis in the stomach collateral obstruction syndrome was higher than that in the other syndrome types,and the degree of sublingual collateral stasis in the spleenstomach deficiency syndrome was lower than that in the other syndrome types.Conclusion The objective index of sublingual collaterals is sensitive to chronic atrophic gastritis,which are basically consistent with the theory and clinical conclusions of TCM,and can be used as evidence for diagn
作者
王亚楠
袁莉
汪莉
徐志远
阮华
程向东
董昌武
WANG Yanan;YUAN Li;WANG Li;XU Zhiyuan;RUAN Hua;CHENG Xiangdong;DONG Changwu(Anhui University of Chinese Medicine,Hefei 230000,China;Cancer Hospital Affiliated to The University of Chinese Academy of Sciences(Zhejiang Cancer Hospital),Hangzhou 310022,China;Hangzhou Yuhang District Hospital of Traditional Chinese Medicine,Hangzhou 310022,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2023年第5期158-163,共6页
Chinese Journal of Information on Traditional Chinese Medicine
基金
国家自然科学基金(82074245、81973634)
安徽省教育厅重点课题(KJ2020A0379)
浙江省中医药防治重大疾病攻关计划(2018ZY006)。
关键词
舌下络脉
慢性萎缩性胃炎
证型
参数
客观化
相关性
sublingual collaterals
chronic atrophic gastritis
TCM syndrome type
parameter
objectification
correlation
