气色形态手诊与耳垂皱褶征对诊断冠心病的临床价值的比较研究  

A comparative study on the clinical value of diagnosis based on hand color and shape and diagonal earlobe crease in the diagnosis of coronary heart 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 Shiheng;QIN Peijie;WANG Liuqing;LIU Xuechun;AN Hong;LI Yu;LIU Meihan;ZHAO Zhupei;SHI Xueqin;ZHU Tingyu;ZHANG Fengxia;LIU Jianfeng;WANG Liying;GUO Hua;XU Tao;ZHANG Limei;ZOU Xu(China Science and Technology Development Center for Chinese Medicine,Beijing 100027,China;Chinese Medical History Documentation Research Institute,China Academy of Chinese Medical Sciences,Beijin1g00700,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,Bejing 100700,China;The Second Affiliated 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 Traditional 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 [3]中国中医科学院中医临床基础医学研究所 [4]中国中医科学院研究生院 [5]贵州中医药大学第二附属医院 [6]中国中医科学院广安门医院 [7]广东省中医院

出　　处：《北京中医药大学学报》2022年第12期1282-1287,共6页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家重点研发计划“中医药现代化研究”专项(No.2019YFC1708402)。

摘　　要：目的比较气色形态手诊与耳垂皱褶征对冠心病的诊断效果,明确气色形态手诊诊断冠心病的临床价值。方法纳入326例受试者,分别采用气色形态手诊和耳垂皱褶征进行冠心病诊断,并与冠状动脉造影诊断结果进行比较。结果与冠状动脉造影诊断结果比较,气色形态手诊的敏感度为80.2%,特异度为68.7%,误诊率为31.3%,漏诊率为19.8%,阳性预测值为63.3%,阴性预测值为83.8%,准确率为73.3%;耳垂皱褶征的敏感度为58.8%,特异度为53.8%,误诊率为46.2%,漏诊率为41.2%,阳性预测值为46.1%,阴性预测值为66.0%,准确率为55.8%。气色形态手诊的诊断效果优于耳垂皱褶征。结论气色形态手诊诊断冠心病的效果较好,具有较大的临床应用价值。Objective We aimed to compare the diagnostic value of hand color and shape and diagonal earlobe crease in the diagnosis of coronary heart disease.Methods A total of 326 subjects were included,and the diagnosis of coronary heart disease was carried out by hand examination and based on the earlobe fold and compared with coronary angiography result.Results Compared with the coronary angiography result,the sensitivity and specificity of manual diagnosis based on hand color and shape were 80.2%and 68.7%,respectively;31.3%were misdiagnosed and 19.8%were missed.The positive predictive value was 63.3%,the negative predictive value was 83.8%,and the accuracy rate was 73.3%.The sensitivity and specificity of the earlobe crease were 58.8%and 53.8%,respectively;the misdiagnosis rate was 46.2%and the missed diagnosis rate was 41.2%.The positive predictive value was 46.1%,the negative predictive value was 66.0%,and the accuracy rate was 55.8%.The diagnostic effect of color appearance and hand diagnosis was significantly better than that of the earlobe crease.Conclusion Diagnosis based on hand color and shape is effective in diagnosing coronary heart disease and has great clinical application value.

关 键 词：气色形态手诊 耳垂皱褶征 冠状动脉造影 冠心病 诊断 

分 类 号：R241[医药卫生—中医诊断学]