CAJ | 학술논문

目的：探讨慢性乙型肝炎(简称慢性乙肝)患者中医证候及舌象客观量化指标的变化同中医病理因素的关系，初步建立慢性乙肝舌象客观量化信息数据库，为中医客观化在临床疗效评价方面做初步探讨。方法：采用中医智能舌象仪对慢性乙肝患者舌象客观量化指标进行采集，并对其与相应中医临床证候的相关性进行分析。结果：1)舌苔面积与临床症状胁肋疼痛、肝脾肿大、身目发黄、脘闷腹胀、食欲不振、倦怠乏力、神疲懒言、恶心呕吐、嗳气、大便稀溏呈正相关；2)舌质颜色R、G、B与临床症状胁肋疼痛、食欲不振、嗳气呈负相关；3)舌质颜色G、B与临床症状身目发黄、倦怠乏力呈负相关；4)舌质颜色B与临床症状肝脾肿大、口干而苦呈负相关；5)舌苔颜色R、G、B与临床症状胁肋疼痛、身目发黄、食欲不振、嗳气呈负相关；6)舌苔颜色R、B与临床症状倦怠乏力呈负相关；7)舌苔颜色B与临床症状肝脾肿大、口干而苦呈负相关；8)齿痕数量、面积与临床症状胁肋疼痛、肝脾肿大、身目发黄、脘闷腹胀、食欲不振、神疲懒言、嗳气呈负相关；9)点刺数量面积与临床症状胁肋疼痛、食欲不振、口干而苦、嗳气呈负相关；10)裂纹数量、面积与临床症状烦躁易怒呈正相关。结论：中医舌象仪所采集舌象客观量化指标的变化能够反映患者临床症状的变化情况，能为临床诊疗慢性乙肝提供可参考的诊断依据。
목적：탐토만성을형간염(간칭만성을간)환자중의증후급설상객관양화지표적변화동중의병리인소적관계，초보건립만성을간설상객관양화신식수거고，위중의객관화재림상료효평개방면주초보탐토。방법：채용중의지능설상의대만성을간환자설상객관양화지표진행채집，병대기여상응중의림상증후적상관성진행분석。결과：1)설태면적여림상증상협륵동통、간비종대、신목발황、완민복창、식욕불진、권태핍력、신피라언、악심구토、애기、대편희당정정상관；2)설질안색R、G、B여림상증상협륵동통、식욕불진、애기정부상관；3)설질안색G、B여림상증상신목발황、권태핍력정부상관；4)설질안색B여림상증상간비종대、구간이고정부상관；5)설태안색R、G、B여림상증상협륵동통、신목발황、식욕불진、애기정부상관；6)설태안색R、B여림상증상권태핍력정부상관；7)설태안색B여림상증상간비종대、구간이고정부상관；8)치흔수량、면적여림상증상협륵동통、간비종대、신목발황、완민복창、식욕불진、신피라언、애기정부상관；9)점자수량면적여림상증상협륵동통、식욕불진、구간이고、애기정부상관；10)렬문수량、면적여림상증상번조역노정정상관。결론：중의설상의소채집설상객관양화지표적변화능구반영환자림상증상적변화정황，능위림상진료만성을간제공가삼고적진단의거。
Objective: To investigate chronic hepatitis B(CHB) patients' TCM syndrome, the varieties of tongue images' indexes as well as their relations with TCM pathological factors to preliminarily establish the infor-mation database for the objective quantified indexes of tongue pictures of CHB patients, which can be the initiatory exploration of TCM objectivity from the aspect of clinical effective evaluation. Methods: The intelligent instrument for tongue image diagnosis was used to collect the objective quantified indexes of CHB patients and their relations with the corresponding TCM syndrome were analyzed. Results: 1. The areas of the tongue coating were directly re-lated to the clinical manifestations as hypochondriac pain, hepatosplenomegaly, yellowish body and eyes, abdominal distension, poor appetite, fatigue, exhausted state with no desire to speak, vomiting, belching and loose stool. 2. R, G and B tongues were inversely related to hypochondriac pain, poor appetite and belching in clinic. 3. G and B tongues were inversely related to yellowish body and eyes as well as fatigue. 4. B tongues were inversely related to hep-atosplenomegaly and dry mouth with bitter taste. 5. R, G and B tongue furs were inversely related to hypochondriac pain, yellowish body and eyes, poor appetite and belching. 6. R and B tongue furs were inversely related to fatigue. 7. B tongue furs were inversely related to hepatosplenomegaly and dry mouth with bitter taste. 8. The quantities and areas of teeth prints in the tongue were inversely related to hypochondriac pain, hepatosplenomegaly, yellowish body and eyes, abdominal distension, poor appetite, exhausted state with no desire to speak, belching (teeth prints) as well as loose stool. 9. The quantities and areas of tongue spots were inversely related to hypochondriac pain, poor ap-petite, dry mouth with bitter taste and belching. 10. The quantities and areas of tongue cracks were directly related to such clinical manifestations as dysphoria and irritability. Conclusion: The objective quantified indexes collected by the instrument for tongue image diagnosis can reflect the changes of clinical symptoms in CHB patients, which can provide the diagnostic basis for CHB in clinic.