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目的:分析不同分期大肠癌患者舌象的分布特点,对其规律进行探讨,为指导临床提供依据。方法:选取2009年1月至2013年10月在我院肿瘤科门诊及病房诊治的大肠癌患者作为研究对象,根据其临床分期将所有患者分为早中期、晚期两组,记录各患者的舌质、舌苔、舌形及舌下脉络,将结果导入SPSS 13.0,统计各期大肠癌患者的舌象分布情况。结果:早中期大肠癌患者主要表现为淡红舌(42.9%),黄厚/腻苔(42.9%),裂纹舌(32.7%);而晚期大肠癌患者则以紫舌(63.1%)、白厚/腻苔(47.1%)、胖大舌(48.2%)为主,多数患者有不同程度的舌下脉络增粗,较早中期患者有明显区别,差异有统计学意义,P<0.05。结论:早中期大肠癌患者的舌象多表现为淡红舌、黄厚/腻苔、裂纹舌,而晚期大肠癌患者则以紫舌、白厚/腻苔、胖大舌为主要表现,舌下脉络增粗是晚期大肠癌的典型表现,不同的舌象特点有利于指导下一步临床治疗。
OBJECTIVE: To analyze the distribution of tongue images in patients with different stages of colorectal cancer, discuss its regularity and provide basis for clinical practice. Methods: From January 2009 to October 2013 in our hospital oncology clinic and ward diagnosis and treatment of patients with colorectal cancer as the research object, according to their clinical stage all patients were divided into early, middle and late groups, the records of each patient’s tongue Tongue, tongue and sublingual vein, the results were imported into SPSS 13.0, and the distribution of tongue in patients with colorectal cancer in each stage was statistically analyzed. Results: The patients with early stage and middle stage colorectal cancer mainly showed pale red tongue (42.9%), yellow thick / greasy moss (42.9%) and cracked tongue (32.7%), while patients with advanced colorectal cancer Thick and greasy moss (47.1%) and large chubby tongue (48.2%). Most patients had different degrees of sublingual choroid thickening. There was a significant difference between the two groups in early and mid-term, the difference was statistically significant, P <0.05. Conclusions: The tongue images of patients with colorectal cancer in early-mid stage mostly showed pale red tongue, yellow thick / greasy tongue and cracked tongue, while the patients with advanced colorectal cancer mainly displayed purple tongue, white thick / greasy tongue and greasy tongue, tongue Under the context of thickening is a typical manifestation of advanced colorectal cancer, different tongue characteristics conducive to guide the next step in clinical treatment.