Relationship between Sublingual Collaterals Changes and Blood Components Content in Patients with Chronic Heart Failure
Wang Ruihua
Li Yanfen
Sun Lanjun
Wang Baohe
Abstract：Objective To investigate the relationship between various characteristic changes of sublingual collateral and blood components content in patients with chronic heart failure (CHF).Methods Fifty-four patients with different levels of New York Heart Association (NYHA) Functional Classification were selected.The sublingual collaterals were collected by the tongue image acquisition in strument that developed by Tianjin University of Traditional Chinese Medicine and Tianjin University.The sublingual vein length,width,tortuous degree and color shade were judged and classified through Chinese medicine tongue intelligent assitant diagnosis system.The various blood routine test indexes were collected.One-way ANOVA analysis of variance and Spearman rank correlation analysis were used to screen blood components that correlated with various characteristics of sublingual collaterals and linear trend.Multivariate ordinal Logistic regression analysis was used to explore the correlation between the length,width,tortuosity degree,color depth of sublingual collaterals and the screened blood component content in CHF patients with different levels of NYHA.The interaction effects were analyzed.The trend of changes was predicted.Results The length change of sublingual collaterals was positively correlated with mean platelet volume (MPV),platelet distribution width (PDW) and platelet large cell ratio (P-LCR) levels in blood routine.The length increased with the increase of NYHA classification.The width change of sublingual collaterals was negatively correlated with mean corpuscular hemoglobin concentration (MCHC),platelet counts (PLT),and platelet crit (PCT) levels in the blood routine,and was positively correlated with MPV and PDW levels.The width of sublingual collaterals decreased with increasing MCHC concentrations.There were negative correlations between tortuous degree changes and the levels of PLT and PCT in blood routine.Color changes and blood routine white cell count (WBC),neutrophil count (N),PDW,P-LCR levels were positively correlated.The color of collaterals had a deepened trend with the increase of PDW content.Conclusion There are certain correlations between the tongue sublingual collaterals changes and the content level of red blood cells,platelets,white blood cells and other indicators in blood routine,especially with the active ingredients of platelets in CHF patients with different NYHA classification.The observation of sublingual collaterals may be an effective method to determine the status of ischemia,hypoxia and blood stasis in patients with heart failure,and it also has a certain value for the prognosis of patients with heart failure.
Keywords：chronic heart failuresublingual collaterasblood routine testplateletheart function
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 833-840 )