喘证痰热郁肺证四诊辨证与中医经络检测仪检测结果的关系

目的:探讨喘证痰热郁肺证四诊辨证与中医经络检测仪检测结果的关系。方法:选择2015年3月—2016年9月在本院肺病科住院治疗的喘证痰热郁肺证患者120例。所有患者由两名副主任中医师同时进行望、闻、问、切四诊辨证,辨证为痰热郁肺证,并经中医经络检测仪检测,将检测结果中肺经病症与四诊辨证结果进行对比分析,结果一致者列为A组,结果不一致者列为B组。所有患者均按望、闻、问、切中医辨证进行治疗,选方清肺化痰汤加减。结果:喘证痰热郁肺证,中医经络检测仪检测肺经病症与四诊合参辨证结果一致者81例(A组),一致率67.5%,不一致者39例(B组),占32.5%;A组好转率96.29%,B组好转率94.87%,两组比较差异无统计学意义(P0.05)。结论:喘证痰热郁肺证的中医经络检测仪与中医四诊合参一致性达67.5%,可作为临床中医辨证参考。

The Relationship Between Differentiation of Four Methods of Diagnosis of Asthma with Phlegm-Heat Obstructing Lung Syndrome and Detection Results by TCM Meridian Detector

Objective:To explore the relationship between differentiation of four methods of diagnosis of asthma with phlegm-heat obstructing lung syndrome and detection results by TCM meridian detector.Methods:One hundred and twenty patients with asthma with phlegm-heat obstructing lung syndrome who were treated in our hospital's Department of Lung Diseases and Department of Respiration between March 2015 and Sept.2016 were chosen as the research subjects.All the patients were treated by the two deputy director of Chinese medicine at the same time with differentiation of four methods of diagnosis and diagnosed as phlegmheat obstructing lung syndrome.They were also detected by TCM meridian detector.The lung-meridian disease symptoms of the detection results were analyzed and compared with the results from differentiation of four methods of diagnosis.The ones with the same result were classified as group A,while the ones with different results were classified as group B.All the patients were treated based on syndrome differentiation through inspection,listening and smelling examination,inquiring and pulse-taking.Results:For patients with phlegm-heat obstructing lung syndrome,81 cases (in Group A) had the same result from TCM meridian detector detecting lung-meridian disease symptoms and from the four diagnostic methods,and the consistency rate was 67.5％.39 cases' results were inconsistent (in Group B),and the inconsistency rate was32.5％.The recovery rate in Group A was 96.29％,94.87％ in Group B.The difference between the two groups had no statistical significance (P ＞0.05).Conclusion:The consistency between asthma with phlegm-heat obstructing lung syndrome detected by TCM meridian detector and by TCM four diagnostic methods has reached 67.5％,which can be used as a clinical reference for TCM syndrome differentiation.