中医综合望诊在高血压病诊断中的临床应用价值分析  

Analysis on the clinical application value of traditional Chinese medicine comprehensive observation in the diagnosis of hypertension

作　　者：尚宝令 吴蓝 季卫强 孙海娇[1,2,3] 邹旭 SHANG Baoling;WU Lan;JI Weiqiang;SUN Haijiao;ZOU Xu(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]广州中医药大学第二临床医学院,广州510405 [2]广东省中医院,广州510120 [3]广州中医药大学第二附属医院,广州510120 [4]南方医科大学南方医院,广州510515

出　　处：《中华中医药杂志》2024年第12期6785-6788,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划(No.2019YFC1708400);国家中医药管理局高水平中医药重点学科建设项目“中医心病学”(No.国中医药人教函[2023]85号);国家中医药管理局重点研究室建设项目(No.国中医药科技发[2012]27号);广东省中医药局项目(No.粤中医办函[2020]1号),广东省中医药局项目(No.20223011);广州市科技计划项目(No.202201020290,No.2023A03J0230,No.2024A03J0040);广东省中医院中医学术流派传承工作室建设项目(No.中医二院[2013]233号)。

摘　　要：目的:研究中医综合望诊在高血压病临床诊断中的应用价值。方法:比较中医综合望诊与单一望诊在高血压组与非高血压组的差异以及对高血压病的诊断效能。结果:经血压测量诊断为高血压病的254例中,中医综合望诊阳性者与面部、颈部、手部、寸上脉区域等单一望诊阳性者,跟非高血压组比较,差异均有统计学意义(P<0.01)。中医综合望诊ROC曲线参数(AUC值0.744,约登指数0.488)高于面部(0.661,0.321)、颈部(0.700,0.400)、手部(0.734,0.469)、寸上脉区域(0.640,0.280)等单一望诊,中医综合望诊的诊断效果优于单一望诊。结论:中医综合望诊诊断高血压病的效果较好,具有较大的临床应用价值。Objective:To study the application value of traditional Chinese medicine comprehensive observation in the clinical diagnosis of hypertension.Methods:The differences between traditional Chinese medicine comprehensive observation and single observation in the hypertension group and non-hypertension group,as well as their diagnostic efficacy for hypertension were compared.Results:Among the 254 cases diagnosed with hypertension through blood pressure measurement,there was a statistically significant difference between those who were diagnosed with hypertension through comprehensive observation of traditional Chinese medicine and those who were diagnosed with single positive observation in the face,neck,hands,and upper pulse areas compared to the non-hypertensive group(P<0.01).The ROC curve parameters(AUC value 0.744,Yoden index 0.488)of traditional Chinese medicine comprehensive observation were higher than those of single observation,such as facial(0.661,0.321),neck(0.700,0.400),hands(0.734,0.469),and upper pulse areas(0.640,0.280).The diagnostic effect of traditional Chinese medicine comprehensive observation was better than that of single observation.Conclusion:Traditional Chinese medicine comprehensive observation has a good effect on hypertension and has significant clinical application value.

关 键 词：中医综合望诊 血压测量 高血压病 诊断 临床应用 价值 

分 类 号：R24[医药卫生—中医临床基础]