脑梗死患者舌象不对称性的临床观察

首都医科大学学报 ›› 2010, Vol. 31 ›› Issue (2): 174-176.

脑梗死患者舌象不对称性的临床观察

董恺, 刘萍, 徐敏, 马青峰, 高利^*

首都医科大学宣武医院神经内科

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-04-21 发布日期:2010-04-21
通讯作者: 高利

Analysis of Asymmetric Tongue Presentations of Patients with Acute Cerebral Infarction

DONG Kai, LIU Ping, XU Min, MA Qing-feng, GAO Li^*

Department of Neurology, Beijing Xuanwu Hospital, Capital Medical University

Received:1900-01-01 Revised:1900-01-01 Online:2010-04-21 Published:2010-04-21
Contact: GAO Li

摘要/Abstract

摘要： 目的分析急性脑梗死患者舌象的不对称性与瘫痪的关系，为无症状性脑梗死提供早期诊断依据，同时观察其与脑梗死中医证型的关系。方法采集2006年至2009年间首都医科大学宣武医院神经内科200例急性脑梗死患者的临床资料，根据中医的常规分型并结合以往经验，在血瘀的基础上分为痰火型、痰湿型、气虚型、阴虚型4种证型，除神经科体征外还分别观察患者的舌象(舌苔、舌质、舌下络脉)并与责任病灶及瘫痪侧关系进行统计学相关分析。结果发现急性脑梗死患者舌苔、舌体和舌下络脉大多存在程度不等的不对称性。结论发现舌下络脉、舌体、舌苔的不对称性，可以辅助临床对梗死患者瘫痪的早期诊断，尤其是对判断腔隙性脑梗死或无症状性脑梗死早期体征不明显病人更有临床意义。

关键词: 急性脑梗死, 舌苔, 舌象不对称性

Abstract: Objective To analyze the relationship between the asymmetric tongue presentation and paralysis in patients with acute cerebral infarction and to provide evidence for early diagnosis of cerebral infarction. Methods From march 2008 to february 2009, 200 patients seen in Xuanwu Hospital of Capital Medical University were enrolled in this study. The patients were classified into the following sympotom differentiation types: pyrophlegm, phlegmatic hygrosis, asthenia, and yin deficiency. The blood stagnation in sublingual veins, the tongue body and the coat of tongue were observed. Results In these cases, sublingual veins, the body and the coat of tongue were asymmetric. Conclusion In patients with acute cerebral infarction, the tongue presentations are asymmetric. Analyzing the relationships between tongue presentations and infarction location may be of some help in early diagnosis of paresis.

Key words: acute cerebral infarction, tongue presentations, asymmetry of tongue presentations

中图分类号:

R 241.25

董恺;刘萍;徐敏;马青峰;高利. 脑梗死患者舌象不对称性的临床观察[J]. 首都医科大学学报, 2010, 31(2): 174-176.

DONG Kai;LIU Ping;XU Min;MA Qing-feng;GAO Li. Analysis of Asymmetric Tongue Presentations of Patients with Acute Cerebral Infarction[J]. Journal of Capital Medical University, 2010, 31(2): 174-176.

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