基于舌诊客观化的儿童社区获得性肺炎痰热闭肺证诊断模型的构建研究  

Construction of a diagnostic model for the syndrome of phlegm-heat obstructing the lung in children with community acquired pneumonia based on objectifying the tongue inspection

作　　者：朱英豪 程思文 周佳慧 魏丽娜 ZHU Yinghao;CHENG Siwen;ZHOU Jiahui;WEI Lina(Changchun University of Chinese Medicine,Changchun 130117,China;Affi liated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属医院,长春130021

出　　处：《吉林中医药》2022年第12期1411-1413,共3页Jilin Journal of Chinese Medicine

基　　金：吉林省中医药科技项目(2021002;2021140)。

摘　　要：目的基于舌象与脏腑经络的关系,在现代中医舌诊客观化研究基础上,探讨舌象与儿童社区获得性肺炎痰热闭肺证之间的联系,为中医药防治儿童社区获得性肺炎提供新诊断思路。方法纳入儿童社区获得性肺炎临床病例450例,分为肺炎喘嗽痰热闭肺证组、肺炎喘嗽非痰热闭肺证组、正常组,通过舌诊仪对3组的舌象资料进行客观化判定,构建儿童社区获得性肺炎痰热闭肺证诊断模型。结果将3组运用独立样本T检验两两比较得出,舌色及苔色的客观参数R、G、B的P值均<0.05,差异显著,均具有统计学意义。舌色RGB值分别在(115.09±12.63)(74.89±11.79)(71.10±7.41),苔色RGB值分别在(108.64±7.29)(80.20±9.37)(76.21±7.20)间的肺炎喘嗽患儿可诊断为痰热闭肺证,与非痰热闭肺组、正常组间舌象有显著差异。结论舌诊客观化下的儿童社区获得性肺炎痰热闭肺证舌诊具有一定的规律性,其在临床诊疗过程中具有一定的参考价值。Objective Based on the relationships between tongue manifestations and zang-fu viscera and channels,and on the basis of the studies of tongue inspection objectification in modern Chinese medicine,to explore the correlations between tongue manifestations and the syndrome of phlegm-heat obstructing the lung in children with community acquired pneumonia,so as to provide a new diagnostic idea for Chinese medicine to prevent and treat the syndrome.Methods A total of 450 clinical cases of children with community acquired pneumonia were enrolled in the study and were divided into three groups:the group of pneumonia with dyspneic cough(with the syndrome of phlegm-heat obstructing the lung),the group of pneumonia with dyspneic cough(without the syndrome of phlegmheat obstructing the lung),and the normal group.The diagnostic model of community acquired pneumonia with the syndrome of phlegm-heat obstructing the lung in children was constructed by objectifying the tongue manifestation data of the three groups with a tongue inspection instrument.Results The three groups were compared in pairs by the independent sample T test,and the P values of the objective parameters R,G,B of tongue color and fur color were all less than 0.05,and their diff erences were statistically signifi cant.The characteristics of tongue manifestations were summarized as follows:Pneumonia with dyspneic cough in children could be diagnosed as featuring the syndrome of phlegm-heat obstructing the lung when their P values of R,G,B of tongue color were respectively within the ranges of(115.09±12.63),(74.89±11.79),(71.10±7.41),and when their P values of R,G,B of fur color were respectively within the ranges of(108.64±7.29),(80.20±9.37),(76.21±7.20),which were signifi cantly diff erent from those in the group without the syndrome of phlegm-heat obstructing the lung and the normal group.Conclusion Objectifi ed,the tongue inspection of community acquired pneumonia in children with the syndrome of phlegm-heat obstructing lung presents certain regularity,w

关 键 词：舌诊客观化 儿童社区获得性肺炎 痰热闭肺证 

分 类 号：R563.1[医药卫生—呼吸系统]