[1]王勇军,阎伟,郑志永.早期股骨头坏死面色及舌脉信息的客观化研究[J].西部中医药,2026,39(03):176-181.[doi:10.12174/j.issn.2096-9600.2026.03.33]
　WANG Yongjun,YAN Wei,ZHENG Zhiyong.Objective Study on Facial Complexion and Tongue-Pulse Information in Early-Stage Osteonecrosis of the Femoral Head[J].Western Journal of Traditional Chinese Medicine,2026,39(03):176-181.[doi:10.12174/j.issn.2096-9600.2026.03.33]
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早期股骨头坏死面色及舌脉信息的客观化研究()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年03期
页码:
176-181
栏目:
诊断剖析
出版日期:
2026-03-15

文章信息/Info

Title:
Objective Study on Facial Complexion and Tongue-Pulse Information in Early-Stage Osteonecrosis of the Femoral Head
作者:
王勇军1, 阎伟2, 郑志永2
1.山东中医药大学第一临床医学院，山东 济南 250014
2.山东中医药大学附属医院，山东 济南 250014
Author(s):
WANG Yongjun1, YAN Wei2, ZHENG Zhiyong2
1.First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan 250014, China
2.Affiliated Hospital to Shandong University of Traditional Chinese Medicine, Jinan 250014, China
关键词:
股骨头坏死; 面色; 舌象; 脉象; 客观化研究; 中医四诊仪
Keywords:
osteonecrosis of the femoral head; facial complexion; tongue manifestations; pulse manifestations; objective research; Traditional Chinese Medicine four-diagnosis instrument
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2026.03.33
文献标志码:
B
摘要:
目的研究早期股骨头坏死（osteonecrosis of the femoral head，ONFH）患者面色及舌脉信息的分布特征。 方法采用中医四诊仪采集81例ONFH患者（观察组）和81例健康成年人（对照组）的面色及舌脉信息，分析两组间差异及特异性表现。 结果两组面色及唇色比较，差异无统计学意义（P＞0.05）；面部光泽度比较，差异有统计学意义（P＜0.05）。两组舌色比较，差异无统计学意义（P＞0.05）；舌体胖瘦、有无齿痕及点刺两组比较差异无统计学意义（P＞0.05），有无裂纹两组比较差异有统计学意义（P＜0.001），舌形各要素汇总后两组比较差异有统计学意义（P＜0.001）；两组舌苔颜色比较，差异有统计学意义（P＜0.05），舌苔质地中，厚薄、有无腻苔比较差异有统计学意义（P＜0.001），有无腐苔、剥脱苔比较差异无统计学意义（P＞0.05），苔质各要素汇总后比较差异有统计学意义（P＜0.001）。两组脉位、脉率、脉律、紧张度及流利度比较，差异均有统计学意义（P＜0.05）；脉力比较，差异无统计学意义（P＞0.05）。 结论早期ONFH患者面色以光泽偏少为著；舌象多为舌形胖大（伴或不伴裂纹），舌苔黄或黄白相兼且多厚腻；脉象以脉位略沉、脉率偏数，促脉、代脉、结脉及弦脉、滑脉增多为特点。
Abstract:
ObjectiveTo analyze the distribution features of facial complexion and tongue-pulse information in early-stage ONFH patients. MethodsFacial complexion and tongue-pulse information were collected using a Traditional Chinese Medicine four-diagnosis instrument from 81 patients with ONFH (observation group) and 81 healthy adults (control group), to analyze the differences and specific manifestations between the two groups. ResultsNo statistically significant differences were observed between the two groups in facial complexion or lip color (P>0.05). However, a statistically significant difference was found in facial luster (P<0.05). For tongue body color, no significant difference was detected between the groups (P>0.05). Regarding tongue body shape, there were no significant differences in tongue body thickness (swollen or thin), presence of tooth marks, or presence of prickles (P>0.05). A highly significant difference was observed in the presence of tongue fissures (P<0.001). When all elements of tongue body shape were aggregated, the overall difference between the two groups was statistically significant (P<0.001). For tongue coating color, a significant difference was found between the groups (P<0.05). In terms of tongue coating texture, statistically significant differences were observed in coating thickness (thin or thick) and the presence of greasy coating (P<0.001). No significant differences were found in the presence of curdy or peeling coating (P>0.05). When all elements of coating texture were aggregated, the overall difference between the two groups was statistically significant (P<0.001). Statistically significant differences were found between the two groups in pulse position, pulse rate, pulse rhythm, pulse tension, and pulse smoothness (P<0.05). No significant difference was observed in pulse strength (P>0.05). ConclusionIn patients with early-stage ONFH, facial complexion was characterized by reduced luster. Tongue manifestations predominantly featured a swollen tongue body (with or without fissures), accompanied by a yellow or yellowish-white coating that was often thick and greasy. Pulse manifestations were characterized by a slightly deep position, a rapid rate, and an increased prevalence of irregularly rapid (prompt), regularly intermittent (slow), and irregularly intermittent (bound) pulses, as well as wiry and slippery pulses.

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备注/Memo

备注/Memo:
山东省中医药科技发展计划项目（2019-0148）；齐鲁邵氏骨关节疾病中医药特色技术（2021.01）。王勇军（1995—），男，硕士学位。研究方向：骨与关节损伤的临床及基础研究。
更新日期/Last Update: 2026-03-15