气色形态手诊在冠心病诊断中的临床应用价值分析  

Analysis of clinical application value of Qisexingtai hand diagnostic method in the diagnosis of coronary atherosclerotic disease

作　　者：刘谦 王诗恒 秦培洁[2] 王柳青[2] 刘学春[2] 安宏 李钰 刘美含 赵杼沛 石雪芹 朱婷钰 张凤霞 刘剑锋[2] 王丽颖[3] 国华[4] 许滔 张丽梅[6] 邹旭[7] LIU Qian;WANG Shi-heng;QIN Pei-jie;WANG Liu-qing;LIU Xue-chun;AN Hong;LI Yu;LIU Mei-han;ZHAO Zhu-pei;SHI Xue-qin;ZHU Ting-yu;ZHANG Feng-xia;LIU Jian-feng;WANG Li-ying;GUO Hua;XU Tao;ZHANG Li-mei;ZOUXu(China Science and Technology Development Center for Chinese Medicine(Human Resources Development Center of SATCM),Beijing 100027,China;Chinese Medical History Documentation Research Institute,China Academy of Chinese Medical Sciences,Beijing 100700,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Graduate School of China Academy of Chinese Medical Sciences,Beijing 100700,China;The Second Affliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550003,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]中国中医药科技发展中心(国家中医药管理局人才交流中心),北京100027 [2]中国中医科学院中国医史文献研究所,北京100700 [3]中国中医科学院中医临床基础医学研究所,北京100700 [4]中国中医科学院研究生院,北京100700 [5]贵州中医药大学第二附属医院,贵阳550003 [6]中国中医科学院广安门医院,北京100053 [7]广东省中医院,广州510120

出　　处：《中华中医药杂志》2022年第11期6447-6451,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划(No.2019YFC1708400)。

摘　　要：目的:研究气色形态手诊在冠心病(CAD)诊断中的临床应用价值。方法:选取3个中心(广东省中医院、中国中医科学院广安门医院、贵州中医药大学第二附属医院)的326例疑似CAD患者,先后接受气色形态手诊和冠状动脉造影检查,以冠状动脉造影结果作为“金标准”,分析气色形态手诊诊断CAD的效果。结果:冠脉造影诊断CAD患者共131例;气色形态手诊诊断冠心病166例。对比冠脉造影检查结果,气色形态手诊诊断CAD的灵敏度80.2%,特异度为68.7%,漏诊率为19.8%,误诊率为31.3%,阳性预测值为63.3%,阴性预测值为83.8%,准确率为73.3%,总体ROC曲线下面积AUC值0.735,3个分中心(广东省中医院、中国中医科学院广安门医院、贵州中医药大学第二附属医院)AUC值分别为0.718、0.783、0.775。结论:气色形态手诊对CAD诊断具有一定的价值,并且在不同地区均比较适用,可以为临床诊断CAD提供参考,值得推广应用。Objective:To study the clinical application value of Qisexingtai hand diagnostic method in the diagnosis of coronary atherosclerotic disease(CAD).Methods:A total of 326 patients with suspected CAD from three centers(Guangdong Provincial Hospital of Chinese Medicine,Guang’anmen Hospital,China Academy of Chinese Medicial Sciences,The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine)were selected,and they received Qisexingtai hand diagnostic method and coronary angiography.The coronary angiography results were used as the gold standard to analyze the diagnostic effect of Qisexingtai hand diagnostic method of CAD.Results:A total of 131 cases of CAD were diagnosed by coronary angiography;166 cases were diagnosed by Qisexingtai hand diagnostic method.Comparing the results of coronary angiography,the sensitivity of Qisexingtai hand diagnostic method for the diagnosis of CAD by color morphology was 80.2%,the specificity was 68.7%,the missed diagnosis rate was 19.8%,the misdiagnosis rate was 31.3%,positive predictive value was 63.3%,negative predictive value was 83.8%,the accuracy rate was 73.3%,and the area under the ROC curve AUC value was 0.735,the three sub-centers(Guangdong Provincial Hospital of Chinese Medicine,Guang’anmen Hospital,China Academy of Chinese Medicial Sciences,The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine)were 0.718,0.783 and 0.775,respectively.Conclusion:The Qisexingtai hand diagnostic method has a certain value in the diagnosis of CAD,and it is more applicable in different regions.It can provide a reference for clinical diagnosis of CAD and is worthy of popularization and application.

关 键 词：冠心病 气色形态手诊 冠状动脉造影 诊断 临床应用价值 

分 类 号：R541.4[医药卫生—心血管疾病]