儿童支原体肺炎电子支气管镜像与中医辨证分型的相关性探讨  

Correlation Study between Electronic Bronchus Mirror and Chinese Medical Syndrome Typing of Mycoplasma pneumonia Children

作　　者：苑修太[1] 李瑞峰[1] 杨配力[1] 

机构地区：[1]山东省济宁市第一人民医院儿科中心,山东272011

出　　处：《中国中西医结合杂志》2016年第2期188-190,共3页Chinese Journal of Integrated Traditional and Western Medicine

摘　　要：目的研究儿童支原体肺炎中医辨证分型与电子支气管镜像的相关性。方法将198例儿童支原体肺炎住院患者分别按临床中医辨证分型和电子支气管镜镜像自拟分型标准,分为湿热闭肺型、毒热闭肺型和正虚邪恋型,探讨中医辨证分型与电子支气管镜下所见镜像的相关性。结果电子支气管镜下镜像分型与临床辨证分型标准比较,湿热闭肺型一致度K^=0.645,Spearman相关系数r_s=0.653,差异有统计学意义(P<0.01);毒热闭肺型一致度K^=0.724,r_s=0.727,差异有统计学意义(P<0.01);正虚邪恋型一致度K^=0.506,r_s=0.515,差异有统计学意义(P<0.01)。结论儿童支原体肺炎中医辨证临床分型和电子支气管镜下望诊分型一致度中等,并有显著相关性。Objective To explore the correlation between electronic bronchus mirror and Chinese medical syndrome typing of Mycoplasma pneumonia children.Methods Totally 198 Mycoplasma pneumonia children inpatients were assigned to three syndrome types according to Chinese medical syndrome typing and self-formulated typing standards of electronic bronchus mirror,i.e.,Fei-qi accumulation of damp and heat syndrome,Fei-qi accumulation of toxicity and heat syndrome,deficient vital qi leading to lingering of pathogen syndrome.The correlation between electronic bronchus mirror and Chinese medical syndrome typing was explored.Results As for comparison between electronic bronchus mirror and Chinese medical syndrome typing,Kappa value（K^A） was 0.645 and Spearman coefficient correlation（r_s was 0.653（P〈0.01） for Fei-qi accumulation of damp and heat syndrome;K^A was 0.724 and r_s was0.727（P 〈0.01） for Fei-qi accumulation of toxicity and heat syndrome;K^A was 0.506 and r_s was 0.515（P 〈0.01） for deficient vital qi leading to lingering of pathogen syndrome.Conclusion Chinese medical syndrome typing of Mycoplasma pneumonia children was moderately in line with inspection typing under electronic bronchoscope with significant correlation.

关 键 词：支原体肺炎 电子支气管镜 中医辨证分型 

分 类 号：R725.6[医药卫生—儿科]