Study on the Tongue Characteristics of TCM Syndrome Types in Postoperative Colorectal Cancer Based on Multivariate Logistic Regression
10.19879/j.cnki.1005-5304.202501024
- VernacularTitle:基于多元Logistic回归的结直肠癌术后中医证型舌象特征研究
- Author:
Jindi LOU
1
;
Yulin SHI
;
Xiaoyan XU
;
Tao JIANG
;
Jiatuo XU
Author Information
1. 上海中医药大学中医学院,上海 201203
- Publication Type:Journal Article
- Keywords:
postoperative colorectal cancer;
TCM syndromes;
tongue image characteristics;
multinomial Logistic regression
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2025;32(9):135-140
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the tongue image characteristics of patients in postoperative colorectal cancer and significant tongue image features using a multinomial Logistic regression model.Methods Totally 213 postoperative patients with colorectal cancer were included.TFDA-1 digital tongue diagnostic instrument was used to collect the tongue images of patients,and the statistical differences of tongue image characteristics of patients with qi deficiency syndrome,yin deficiency syndrome,phlegm dampness syndrome and blood stasis syndrome were analyzed.Multiple Logistic regression was used to analyze the different tongue image indexes of different syndrome types.Results In the tongue coating index,perAll had the following distribution order:yin deficiency syndromeqi deficiency syndrome>blood stasis syndrome.In the texture indexes,CON,ENT and MEAN had the following distribution order:phlegm-dampness syndrome>yin deficiency syndrome>qi deficiency syndrome>blood stasis syndrome.ASM had the following distribution order:phlegm-dampness syndromeqi deficiency syndrome>blood stasis syndrome.TB-a had the following distribution order:phlegm-dampness syndromeqi deficiency syndrome>phlegm-dampness syndrome>blood stasis syndrome.TC-L had the following distribution order:blood stasis syndromeqi deficiency syndrome>blood stasis syndrome>phlegm-dampness syndrome.TC-b had the following distribution order:yin deficiency syndrome>qi deficiency syndrome>blood stasis syndrome.In the multinomial Logistic regression model,compared with the qi deficiency syndrome,the probability of being diagnosed with the yin deficiency syndrome increased when TB-L and TC-a decreased.Additionally,the probability of being diagnosed with the phlegm-dampness syndrome increased when TB-b and TC-a decreased and TC-b increased;TB-b and TC-L decreased,principal component 1 of texture index increased,and the probability of syndrome differentiation as blood stasis syndrome was higher.Conclusion The tongue image characteristics of different TCM syndromes in postoperative colorectal cancer patients exhibit certain patterns,which can serve as an objective reference for TCM differentiation and diagnosis.
