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1、中西医结合学报2006年1月第4卷第1期JournalofChineseIntegrativeMedicine,January2006,Vol.4,No.1·13·原发性肝癌患者和健康人“正常舌象”的对比研究邓伟哲,岳小强,刘庆,高静东,任荣政,凌昌全(第二军医大学长海医院中医科,上海200433)[摘要]目的:通过对原发性肝癌患者和健康人“正常舌象”进行微观比较,为舌诊的微观辨证研究提供必要的临床资料。方法:运用舌尖微循环检查及舌苔脱落细胞染色法,对原发性肝癌患者和健康人中的“正常舌象”进行对比研究。结果“:正常舌象”在健康人组中更为常见(38.89%),而在原发性肝
2、癌组中则较少见(2.32%)。原发性肝癌组“正常舌象”舌尖微循环总积分和舌苔脱落细胞成熟指数均明显高于健康人组(P<0.01,P<0.05)。结论“:正常舌象”在原发性肝癌患者和健康人中均可出现,但两者在微观上却存在明显差异。[关键词]正常舌象;微循环;舌苔脱落细胞;肝肿瘤[中图分类号]R241.25[文献标识码]A[文章编号]1672-1977(2006)01-0013-04ComparativestudyonnormaltonguemanifestationinpatientswithprimarylivercancerandhealthyadultsWei-Zhe
3、DENG,Xiao-QiangYUE,QingLIU,Jing-DongGAO,Rong-ZhengREN,Chang-QuanLING(DepartmentofTraditionalChineseMedicine,ChanghaiHospital,SecondMilitaryMedicalUniversity,Shanghai200433,China)ABSTRACTObjective:Tofindoutsomemicroscopicallyvisiblemorphologicaldifferencesinnormaltonguemanifestationbetwee
4、npatientswithprimarylivercancerandhealthyadults,andprovidesomebeneficialevidencesformicrocosmicsyndromedifferentiationoftongueinspection.Methods:Microcirculationsofthetonguetip,whichrepresentedthemacroscopicalnormaltonguemanifestation,wereobservedunderanopti-calmicroscopeinpatientswithpr
5、imarylivercancerandhealthyadults.Exfoliatedcellsfromtonguecoatingwereexaminedbyhematoxylin-eosinstaining.Results:Theproportionofnormaltonguemanifestationwaslargerinhealthyadults(38.89%)thanthatinpatientswithprimarylivercancer(2.32%).Thetotalscoreofmicrocirculationoftonguetipandthematurat
6、ionindexofexfoliatedcellsfromtonguecoatingwerebothhigherinpatientswithprimarylivercancerthanthoseinhealthyadultswithnormaltonguemanifestation(P<0.01,P<0.05).Conclusion:Normaltonguemanifestation,whichismacroscopicallyvisible,canbeobservedinbothpatientswithprimarylivercancerandhealthyadult
7、s,butthereexistsobviousdifferenceinmicrocosmicview.KEYWORDSnormaltonguemanifestation;microcirculation;exfoliatedcellsfromtonguecoating;liverneoplasmsZhongXiYiJieHeXueBao/JChinIntegrMed,2006,4(1):13-16www.jcimjournal.com①传统中医将“正常舌象”描述为“舌体柔软,活动病与健康状态下的“正常舌象”在微观上是否存在区自如,淡红润泽
