查詢結果分析
來源資料
頁籤選單縮合
題 名 | 慢性B型肝炎患者舌下絡脈初探=Preliminary Study on Subglossal Vessels Morphology in Patients with Chronic Hepatitis B |
---|---|
作 者 | 林宏任; 張恆鴻; 蔣依吾; 陳建仲; 陳瑞照; 鄭庚申; | 書刊名 | 中國醫藥學院雜誌 |
卷 期 | 8:2 1999.06[民88.06] |
頁 次 | 頁7-12 |
分類號 | 413.241 |
關鍵詞 | 舌下絡脈; 血瘀; Subglossal vessels; Blood stasis; |
語 文 | 中文(Chinese) |
中文摘要 | 中醫理論認為病毒外感,可使肝疏調氣血之職失常,由氣滯發展為血瘀。而血瘀 證之舌診所見包括舌質青紫或舌體瘀點、瘀斑及舌下絡脈異常等。近年來中醫各家對正常人 舌下絡脈之觀察結果如下:(1)" 有 93.7% 絡脈分支為單支,(2) 絡脈長度與舌長度之比值 有 94.3% 不超過 3/5, (3) 絡脈寬不超過 2.7mm(4) 絡脈不怒張。若高於上述之值者,則 與血瘀有密切關係。 本研究試行探討慢性 B 型肝炎患者舌下絡脈與上述正常值之差異。在 本院中西醫聯合肝膽科門診篩選 HBsAg 陽性反應,SGOT 及 SGPT 異常持續六個月以之患者 。以黑幕製成攝影棚,使用數位式照相機,在標準色溫冷光下進行攝影,再經電腦影像測量 分析舌下絡脈與舌長度之比值、舌下絡脈分支及舌下絡脈寬度等,並觀察舌下絡脈有無怒張 。結果顯示 (1)60.4% 病患舌下左右絡脈分支皆在 2 支以上。左或右舌下絡脈分支 2 支以 上者佔 72.9%。 (2) 有 70.8% 患者舌下絡脈長度與舌長度比值大於 3/5:左或右舌下絡脈 長度與舌長度比值大於 3/5 者有 89.6%。(3) 有 52.1% 患者兩側絡脈寬度均大於 2.7mm; 有 81.3% 患者舌下絡脈單支寬度大於 2.7mm。 (4)52.1% 患者舌下絡脈兩支皆怒張: 有 54.2% 患者舌下絡脈單支寬度有怒張現象。 |
英文摘要 | Chinese medical theory holds that externally contracted evil toxin can disturbing liver and causing qi stagnation that develops into blood stasis, Blood stasis can be detected in examination of tongue by the presence of cyanotic of purple coloration, stasis speckles, stasis macules, and abnormality of the subglossal vessels. As to the subglossal vessels, the following facts are generally agreed on (1)93.7% of the vessels are single branches;(2) 94.3% of the vessels have a length that does not exceed three fifths of the length of the tongue;(3) the vessels do not exceed 2.7mm in width; (4) the vessels are not distended. Values in excess of the above are attributed to blood stasis. This study seeks to the difference between the subglossal vessel values evinced by chronic hepatitis B patients and the normal values given above. We screened patients from outpatient's department foor HBsAg positive rections and abnormal SGOT/SGPT over six months. Tongues were photographed in a black-screen photography room, using a digital camera, under standard temperature color and cold light, The ratio of vessel length to tongue length, the degree of branching, and the width of vessels were calculated by computer image surveying, and the presence of distention was observed. The results show that (1)60.4% of patients had subglossal vessels sublingual veins with two or more branches on the left and right. 72.9% had subglossal vessels with two or more branches on either the right or left. (2)70.8% had vessels 3/5 the length or the tongue on both the left right;89.6% had vessels 3/5 the length of the tongue on either the right or the left. (3)52.1% had vessels with double branches were over 2.7mm wide; 81.3% had single branch was over 2.7mm wide.(4)52.1% had subglossal vessels wiht double branches were dilated; 54.2% had subglossal vessels with single branch was dilated. |
本系統中英文摘要資訊取自各篇刊載內容。