蒙医切脉法在急诊患者病情评估中的应用观察  

Observation on the application of Mongolian medicine pulse-cutting method in the evaluation of emergency patients

作　　者：包巴根那 巴特金 刘斯日古冷 董海涛 吴超群 任志萍 双丽 Bao Bagenna;Ba Tejin;Liu Siriguleng;DONG Hai-tao;WU Chao-qun;REN Zhi-ping;SHUANG Li(Emergency department of the Inner Mongolia Autonomous Region international Mongolian Medical Hospital,Hohhot,010065,Inner Mongolia Autonomous Region,china)

机构地区：[1]内蒙古自治区国际蒙医医院急诊科,内蒙古呼和浩特010065

出　　处：《中国民族医药杂志》2020年第12期70-72,共3页Journal of Medicine and Pharmacy of Chinese Minorities

基　　金：中国民族医药学会科研计划项目(2019KYXMM131-87)。

摘　　要：目的:探索蒙医切脉法(以下简称蒙医脉诊)在急诊患者病情评估中的可行性,丰富蒙西医结合急诊科的快速病情评估工具,进一步提高急诊患者的蒙医干预水平。方法:回顾性分析内蒙古自治区国际蒙医医院急诊科2018年4月—2020年4月1004例急诊患者的临床资料。对入组患者进行蒙医脉诊,同时,运用改良早期预警评分量表(MEWS)进行预评分,MEWS评分≥5分纳入标准,观察蒙医脉诊在急诊患者病情评估中的应用价值。结果:纳入标准的1004例急诊患者中,660例患者的脉象有特异性改变。休克出现数脉、微脉、弱脉;严重心律失常出现数脉、迟脉、间歇脉;严重贫血出现滑脉、微脉、数脉;高血压急症或合并脑出血出现实脉、数脉、洪脉;急性心肌梗死出现数脉、微脉、迟脉;急性心功能不全出现数脉、弱脉等时均提示病情危重。结论:蒙医脉诊用于急诊科患者的病情评估,危重症患者的脉象有特异性改变,有望作为急诊患者快速病情评估工具之一。Objective:To explore the feasibility of the method of pulse-cutting diagnosis in emergency patients of assessment of illness,enrich the rapid condition classification tool of the emergency department,and improve the level of the intervention of the critical patients.Method:Retrospective analysis of the clinical data of 1004 emergency patients of the emergency department of the International Mongolian Medical Hospital in Inner Mongolia Autonomous Region from april 2018 to april 2020.The patients in the group were examined by pulse-taking in Mongolian medicine,At the same time,the improved early warning scale(MEWS)was used to pre-score,and the MEWS score≥5 was included in the criteria observe the clinical value of pulse-taking in emergency patients of assessment of illness.Result:The 1004 emergency patients included in the criteria,660 had specific changes in pulse condition.Shock appeared rapid pulse,faintpulse,Weak pulse,severe arrhythmia appeared rapid pulse,slow pulse and intermittent pulse,severe anemia appeared the slippery pulse,faintpulse,and rapid pulse,hypertension complicated with or cerebral hemorrhage appeared the forceful pulse,rapid pulse and pulsus pulse,acute myocardial infarction appeared rapid pulse,faint pluse and slow pulse,insufficiency of heart function with rapid pulse and weak pulse.when appeared above pulses are all suggestive critical condition.Conclusion:The Mongolian medicine pulse diagnosis apply to the evaluate the condition of emergency patients,the specific changes in pulse condition of patients with acute critical illness,can be used as one of the tools for rapid assessment of emergency patients.

关 键 词：蒙医切脉法 急诊患者 评估 

分 类 号：R291.2[医药卫生—民族医学]