气色形态手诊在颈动脉粥样硬化病变诊断中的临床应用价值分析  

Analysis on clinical application value of Qi Se Xing Tai hand diagnosis method in the diagnosis of carotid artery diseases

作　　者：刘谦 石雪芹 秦培洁[2] 王柳青[2] 刘学春[2] 安宏 李钰 赵杼沛 朱婷钰 张凤霞 王诗恒 刘剑锋[2] 王丽颖[3] 国华[4] 许滔 张丽梅[6] 邹旭[7] LIU Qian;SHI Xueqin;QIN Peijie;WANG Liuqing;LIU Xuechun;AN Hong;LI Yu;ZHAO Zhupei;ZHU Tingyu;ZHANG Fengxia;WANG Shiheng;LIU Jianfeng;WANG Liying;GUO Hua;XU Tao;ZHANG Limei;ZOU Xu(China Science and Technology Development Center for Chinese Medicine(Talent Exchange Centre,National Administration of Traditional Chinese Medicine),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 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,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》2023年第7期3462-3465,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划中医药现代化专项(No.2019YFC1708400)。

摘　　要：目的:研究气色形态手诊在颈动脉粥样硬化病变临床诊断中的应用价值。方法:运用气色形态手诊对受试者进行颈动脉粥样硬化病变的诊断,与颈动脉超声检查结果比较。结果:共纳入2020年9月1日至2021年9月1日407例受试者。气色形态手诊诊断颈动脉粥样硬化病变的敏感性为82.2%,特异性为63.3%,漏诊率为17.8%,误诊率为36.7%,准确率为74.0%。ROC曲线分析显示,气色形态手诊诊断颈动脉粥样硬化病变的AUC值是0.738。结论:气色形态手诊诊断颈动脉粥样硬化病变具有较高的灵敏度和特异度,对其临床诊断有一定的应用价值。Objective:To study the application value of Qi Se Xing Tai hand diagnosis in the diagnosis of carotid artery diseases(CAD).Methods:The patients were diagnosed with carotid atherosclerotic lesions by Qi Se Xing Tai hand diagnosis and compared with the results of carotid artery ultrasound examination.Results:A total of 407 patients were included from 1 Sep,2020 to 1 Sep,2021.The sensitivity,specificity,missed diagnosis rate,misdiagnosis rate and accuracy rate of CAD were 82.2%,63.3%,17.8%,36.7%and 74.0%,respectively.ROC curve analysis showed that the AUC value of Qi Se Xing Tai Hand diagnosis was 0.738.Conclusion:Qi Se Xing Tai hand diagnosis has high sensitivity and specificity in the diagnosis of CAD,and has certain application value in the clinical diagnosis.

关 键 词：气色形态手诊 颈动脉超声 颈动脉粥样硬化病变 诊断 临床应用价值 

分 类 号：R541.4[医药卫生—心血管疾病]