北京中医药2025，Vol.44Issue(10)：1236-1240,5.DOI:10.16025/j.1674-1307.2025.10.002
冠心病稳定型心绞痛痰瘀互结证舌象特征及其影响因素研究
Tongue image characteristics of phlegm-blood stasis syndrome in stable angina pectoris of coronary heart disease and influencing factors
摘要
Abstract
Objective To observe the tongue image characteristics of phlegm-blood stasis syndrome in patients with stable angina pectoris of coronary heart disease,and to investigate factors influencing these tongue features.Methods From May 2022 to January 2023,a total of 90 patients with stable angina pectoris of coronary heart disease were enrolled at Xiyuan Hospital,China Academy of Chinese Medical Sciences,including 47 patients with phlegm-blood stasis syndrome(phlegm-blood stasis group)and 43 patients without phlegm-blood stasis syndrome(non-phlegm-blood stasis group).Tongue images were collected using a tongue diagnostic instrument and analyzed,and potential influencing factors were assessed.Results Significant differences were observed between the two groups in tongue coating and sublingual collaterals(P<0.05).The phlegm-blood stasis group predominantly had greasy coatings,while the non-phlegm-blood stasis group predominantly had thin coatings.Sublingual collaterals in the phlegm-blood stasis group were mainly moderately to severely tortuous,whereas the non-phlegm-blood stasis group showed mostly mild to moderate tortuosity.No significant differences were found in the tongue tip RGB values between the two groups(P>0.05),but the tongue body stasis index was significantly higher in the phlegm-blood stasis group(P<0.05).Age,alcohol consumption,triglycerides(TG),and LDL-C had no effect on thin coating in phlegm-blood stasis patients(P>0.05);age was an independent factor influencing greasy coating(P<0.05);smoking history was an independent factor affecting the tongue body stasis index(P<0.05).Conclusion Patients with stable angina pectoris of coronary heart disease and phlegm-blood stasis syndrome exhibit thicker and greasy tongue coatings,sublingual collaterals that are moderately to severely tortuous,and higher tongue body stasis index.Age influences the presence of greasy coating,and smoking history affects the tongue body stasis index.关键词
冠心病/痰瘀互结证/舌诊/舌象特征/影响因素Key words
coronary heart disease/phlegm-blood stasis syndrome/tongue diagnosis/tongue image characteristics/influencing factors引用本文复制引用
顾继昱,宋婷婷,郭雨辰,张继伟,徐钰莹,王宗雪,娄泰伟,李秋艳..冠心病稳定型心绞痛痰瘀互结证舌象特征及其影响因素研究[J].北京中医药,2025,44(10):1236-1240,5.基金项目
中国中医科学院科技创新工程项目(CI2021A05012) （CI2021A05012）
