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目的:通过观察探讨患者舌色、舌苔变化在脓毒血症患者中的预后价值。方法:根据患者预后将患者分为重症及轻症脓毒血症,比较两组患者在SIRS指标、APACHⅡ评分以及舌诊等方面灼差异。结果:重症脓毒血症患者在年龄、感染部位(肺部感染)、APACHEⅡ评分以及SIRS各项诊断指标均明显高于轻症组(P<0.05),重症组患者舌色、舌苔多为紫红舌、黄苔,较轻症组有明显差异(P<0.05)。结论:重症脓毒血症患者舌诊早期多表现为紫红舌、黄苔,舌诊对患者预后判断有一定的指导意义。
Objective: To observe the prognosis of patients with tongue color and tongue changes in patients with sepsis. Methods: According to the prognosis of patients, the patients were divided into severe and mild sepsis. The differences of the SIRS index, APACH Ⅱ score and tongue diagnosis between the two groups were compared. Results: Severe sepsis patients in age, infection site (pulmonary infection), APACHE Ⅱ score and SIRS various diagnostic indicators were significantly higher than the mild group (P <0.05), severe cases of tongue color, tongue fur are mostly purple Tongue, yellow moss, mild disease group were significantly different (P <0.05). Conclusion: The early diagnosis of severe tongue sepsis in patients with purple tongue, yellow moss, tongue diagnosis of the prognosis of patients with some guidance.