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[1]范夢強(qiáng),黃杰烽,丁權(quán)威,等.骨科大手術(shù)后舌苔苔質(zhì)特征研究[J].中醫(yī)正骨,2018,30(10):45.
　FAN Mengqiang,HUANG Jiefeng,DING Quanwei,et al.A clinical study of characteristics of tongue fur after orthopedic major operation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(10):45.
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骨科大手術(shù)后舌苔苔質(zhì)特征研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年10期
頁碼:
45
欄目:
臨床研究
出版日期:
2018-10-20

文章信息/Info

Title:
A clinical study of characteristics of tongue fur after orthopedic major operation
作者:
范夢強(qiáng)1; 黃杰烽2; 丁權(quán)威1; 李婷1; 劉魏1; 童培建2
(1.浙江中醫(yī)藥大學(xué),浙江 杭州 310053; 2.浙江省中醫(yī)院,浙江 杭州 310006)
Author(s):
FAN Mengqiang1; HUANG Jiefeng2; DING Quanwei1; LI Ting1; LIU Wei1; TONG Peijian2
1.Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,Zhejiang,China 2.Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China
關(guān)鍵詞:
舌診;  舌苔;  骨科大手術(shù)
Keywords:
tongue inspection;  tongue coating;  orthopedic major operation
摘要:
目的:探討骨科大手術(shù)后患者的舌苔苔質(zhì)特征。方法:以2016年10月至2018年2月在浙江省中醫(yī)院住院接受骨科大手術(shù)(股骨頸骨折手術(shù)、股骨轉(zhuǎn)子間骨折手術(shù)、股骨轉(zhuǎn)子下骨折手術(shù)、股骨干骨折手術(shù)、脊柱開放性手術(shù)及人工髖、膝關(guān)節(jié)置換手術(shù))的324例患者為研究對象。分別于手術(shù)后第1、3、7 天拍攝患者的舌體照片,判斷其舌苔苔質(zhì)類型。結(jié)果:324例患者術(shù)后第1、3、7 天出現(xiàn)的舌苔苔質(zhì)包括膩苔、厚苔、薄苔、剝苔4種類型,膩苔522次、薄苔328次、剝苔86次、厚苔36次。18～39歲、40～59歲、60～79歲、≥80歲4個(gè)年齡段的舌苔苔質(zhì)類型比較,差異有統(tǒng)計(jì)學(xué)意義(χ2=0.030,P=0.000),其中18～39歲、40～59歲及60～79歲患者的舌苔苔質(zhì)均以膩苔、薄苔為主,≥80歲患者的舌苔苔質(zhì)以剝苔為主。術(shù)后第1、3、7 天的舌苔苔質(zhì)類型比較,差異無統(tǒng)計(jì)學(xué)意義(χ2=1.413,P=0.965),均以膩苔、薄苔為主。各年齡段患者中,術(shù)后第1、3、7 天的舌苔苔質(zhì)類型比較,差異均無統(tǒng)計(jì)學(xué)意義(χ2=0.572,P=0.986; χ2=0.399,P=0.989; χ2=0.575,P=0.997; χ2=1.605,P=0.808),其中18～39歲、40～59歲及60～79歲患者術(shù)后第1、3、7 天的舌苔苔質(zhì)均以膩苔、薄苔為主,≥80歲患者術(shù)后第1、3、7 天的舌苔苔質(zhì)均以剝苔為主。結(jié)論:骨科大手術(shù)后,患者的舌苔苔質(zhì)總體上以膩苔、薄苔為主; <80歲患者的舌苔苔質(zhì)以膩苔、薄苔為主,≥80歲患者的舌苔苔質(zhì)以剝苔為主; 術(shù)后不同時(shí)間患者的舌苔苔質(zhì)類型沒有明顯差異。
Abstract:
Objective:To explore the characteristics of tongue fur of patients after orthopedic major operation.Methods:Three hundred and twenty-four patients who received orthopedic major operations including femoral neck fracture surgery,femoral intertrochanteric fracture surgery,femoral subtrochanteric fracture surgery,femoral shaft fracture surgery,spinal open surgery and artificial hip/knee replacement in Zhejiang Provincial Hospital of Traditional Chinese Medicine from October 2016 to February 2018 were selected as the subjects.The photos of patients'tongue body were taken on the 1st,3rd and 7th day after the operation,and the types of tongue fur were determined.Results:The greasy tongue fur(522 times),thick tongue fur(36 times),thin tongue fur(328 times)and tongue without fur(86 times)were found in 324 patients on the 1st,3rd and 7th day after the operation.There was statistical difference in the types of tongue fur between patients aged 18-39 years,40-59 years,60-79 years and ≥80 years(χ2=0.030,P=0.000).The greasy tongue fur and thin tongue fur were mainly found in patients aged 18-39 years,40-59 years and 60-79 years; and the tongue without fur was mainly found in patients≥80 years old.There was no statistical difference in the types of tongue fur between postoperative day 1,3 and 7(χ2=1.413,P=0.965),and the patients were mainly characteristized by greasy tongue fur and thin tongue fur.There was no statistical difference in the types of tongue fur of patients of each age group between postoperative day 1,3 and 7(χ2=0.572,P=0.986; χ2=0.399,P=0.989; χ2=0.575,P=0.997; χ2=1.605,P=0.808).The greasy tongue fur and thin tongue fur were mainly found in patients aged 18-39 years,40-59 years and 60-79 years,and the tongue without fur was mainly found in patients aged ≥80 years on the 1st,3rd and 7th day after the operation.Conclusion:After the orthopedic major operation,the tongue fur of patients were mainly greasy tongue fur and thin tongue fur in general.The tongue fur of patients<80 years old were mainly greasy tongue fur and thin tongue fur and the tongue fur of patients≥80 years old were mainly tongue without fur.There is no obvious difference between different timepoints in the types of tongue fur.

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備注/Memo

備注/Memo:

通訊作者:童培建 E-mail:[email protected]
更新日期/Last Update: 2019-02-25