[1]姜琳,王静,齐文颖,等.乳腺癌相关焦虑抑郁舌象客观化研究[J].西部中医药,2026,39(06):138-141.[doi:10.12174/j.issn.2096-9600.2026.06.26]
　JIANG Lin,WANG Jing,QI Wenying,et al.Objective Study on Tongue Manifestations of Anxiety and Depression Related to Breast Cancer[J].Western Journal of Traditional Chinese Medicine,2026,39(06):138-141.[doi:10.12174/j.issn.2096-9600.2026.06.26]
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乳腺癌相关焦虑抑郁舌象客观化研究()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年06期
页码:
138-141
栏目:
临床研究
出版日期:
2026-06-08

文章信息/Info

Title:
Objective Study on Tongue Manifestations of Anxiety and Depression Related to Breast Cancer
作者:
姜琳1, 王静1, 齐文颖1, 刘少玉2, 贾玫1
1.北京中医药大学东直门医院，北京 100700
2.苏家坨镇社区卫生服务中心，北京 100194
Author(s):
JIANG Lin1, WANG Jing1, QI Wenying1, LIU Shaoyu2, JIA Mei1
1.Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China
2.Sujiatuo Town Community Health Service Center, Beijing 100194, China
关键词:
乳腺癌; 焦虑; 抑郁; 舌象; 客观化
Keywords:
breast cancer; anxiety; depression; tongue manifestations; objective quantification
分类号:
R273
DOI:
10.12174/j.issn.2096-9600.2026.06.26
文献标志码:
B
摘要:
目的通过与健康人群的对比分析，探究乳腺癌相关焦虑抑郁患者的舌象客观化参数特征，总结其舌象表现规律。 方法选取乳腺癌患者与健康人群，采用广泛性焦虑障碍量表（generalized anxiety disorder-7，GAD-7）、患者健康问卷抑郁量表-9（patient health questionnaire-9，PHQ-9）开展心理评估，依据量表得分将研究对象分为健康组（70例）与乳腺癌相关焦虑抑郁组（120例），即病例组，并对其舌象客观化参数进行分析，具体参数包括舌质及舌苔的L值（明度）、a值（绿色-红色）、b值（蓝色-黄色）、H值（颜色类别）、S值（颜色深浅）、V值（颜色明暗），以及齿痕个数、裂纹个数、裂纹占比、瘀斑面积与瘀斑占比。 结果健康组舌色L值、V值高于病例组（P＜0.05），舌色a值、S值低于病例组（P＜0.05）；健康组苔色L值、V值高于病例组（P＜0.05），苔色b值、S值低于病例组（P＜0.05）；健康组齿痕个数、裂纹个数、裂纹占比、瘀斑面积、瘀斑占比均低于病例组（P＜0.05）。 结论乳腺癌相关焦虑抑郁患者舌色偏暗红或绛，舌苔偏黄，且多为齿痕舌、裂纹舌、瘀斑舌。
Abstract:
Objective: Through comparative analysis with healthy individuals, this study aims to investigate the characteristics of objective tongue manifestation parameters in patients with breast cancer-related anxiety and depression, and to summarize the patterns of their tongue manifestation features. MethodsBreast cancer patients and healthy individuals were selected for psychological assessment using the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9). Based on the scale scores, the participants were divided into a healthy group (70 cases) and a breast cancer-related anxiety and depression group (120 cases), designated as the case group. Objective tongue manifestation parameters were then analyzed for both groups. The specific parameters included the L-value (lightness), a-value (green-red), b-value (blue-yellow), H-value (color category), S-value (color saturation), and V-value (color brightness) of the tongue body and tongue coating, as well as the number of teeth marks, number of fissures, fissure ratio, area of ecchymosis, and ecchymosis ratio. ResultsThe tongue body color L value and V value in the healthy group were significantly higher than those in the case group (P < 0.05), while the a value and S value were significantly lower than those in the case group (P < 0.05); the tongue coating color L value and V value in the healthy group were significantly higher than those in the case group (P < 0.05), whereas the b value and S value were significantly lower than those in the case group (P < 0.05). Furthermore, the number of teeth marks, number of fissures, fissure proportion, ecchymosis area, and ecchymosis proportion in the healthy group were all significantly lower than those in the case group (P < 0.05). ConclusionPatients with breast cancer-related anxiety and depression commonly exhibit a dark red or crimson tongue body, a yellow tongue coating, and frequent manifestations of teeth marks, fissures, and ecchymosis on the tongue.

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备注/Memo

备注/Memo:
国家重点研发计划中医药现代化研究重点专项（2017YFC1703302）。姜琳（1996—），女，博士学位，医师。研究方向：肿瘤疾病的中西医结合防治。
更新日期/Last Update: 2026-06-15