CAJ | 학술논문

目的：观察支气管哮喘缓解期患者中医药治疗前后的中医四诊信息、证型及肺功能指标的变化，以探讨具有中医特色的疗效评价指标。方法：利用中医舌面象一体仪、中医问诊量表、脉象仪、声诊信息采集系统、肺功能仪采集33例支气管哮喘缓解期患者治疗前后（1~5个月）的四诊信息及肺功能指标，利用单因素方差分析等方法，分析治疗前后四诊参数和肺功能指标的变化规律。结果：哮喘患者经中医药治疗后面色及舌体子区域的颜色、苔色等均有显著变化的参数；哮喘患者声诊参数治疗前后有显著差异；哮喘患者经治疗后鼻塞等肺系症状出现的频率减少；哮喘患者治疗前后脉象参数差异不显著。哮喘患者治疗后FEV1.0%升高，说明哮喘患者通气功能得到一定程度的改善。结论：中医四诊客观化检测可为支气管哮喘中医证候诊断、病情演变观察以及临床疗效评价提供有效的依据。
목적：관찰지기관효천완해기환자중의약치료전후적중의사진신식、증형급폐공능지표적변화，이탐토구유중의특색적료효평개지표。방법：이용중의설면상일체의、중의문진량표、맥상의、성진신식채집계통、폐공능의채집33례지기관효천완해기환자치료전후（1~5개월）적사진신식급폐공능지표，이용단인소방차분석등방법，분석치료전후사진삼수화폐공능지표적변화규률。결과：효천환자경중의약치료후면색급설체자구역적안색、태색등균유현저변화적삼수；효천환자성진삼수치료전후유현저차이；효천환자경치료후비새등폐계증상출현적빈솔감소；효천환자치료전후맥상삼수차이불현저。효천환자치료후FEV1.0%승고，설명효천환자통기공능득도일정정도적개선。결론：중의사진객관화검측가위지기관효천중의증후진단、병정연변관찰이급림상료효평개제공유효적의거。
This study was aimed to observe bronchial asthma patients in remission after treatment of traditional Chi-nese medicine(TCM) with four diagnostic information, syndrome differentiation and changes oflung function indicators, in order to explore the efficacy evaluation with TCM characteristics. TCM tongue manifestation instrument, TCM in-quiry scale, pulse-taking instrument, acoustic diagnostic information collection system, and spirometer were used in thecollection of 33 bronchial asthma cases in remission before and after treatment (1~5 months) basedon four diagnos-tic information and lung function indexes. Single-factor analysis of variance and other methods were used in the analysis of four diagnostic parameters and lung function indexes before and after treatment. The results showed that after TCM treatment, there were significant changes on indexes such as facial complexion, tongue sub-region color, color of tongue coating and other parameters. There was significant difference in the acoustic parameters before and after treatment. After TCM treatment, the frequency of lung system symptom such as nasal obstruction was decreased. There was no significant difference on changes of pulse-taking indexes among asthma patients before and after treat-ment. After treatment, the FEV1.0% of asthma patients was increased,whichindicated that asthma ventilatory function had been improved to some extent. It was concluded that TCM objective test provide an effective basis for the diag-nosis of bronchial asthma on aspects such as TCM syndrome, disease change observation and clinical evaluation.