CJI (Traditional Chinese Medicine)
慢性阻塞性肺疾病四诊信息化研究进展
沙娇娇,陆洲,江涛,许家佗上海中医药大学基础医学院,上海 201203摘要:慢性阻塞性肺疾病(COPD)患病率、致残率较高,病证结合是中医药治疗COPD的主要模式。本文从中医四诊望、闻、问、切归纳COPD四诊信息化相关研究与应用进展,梳理视觉、触觉、听觉等四诊信息化技术在COPD防治、诊断、疗效评估方面取得的进展,认为四诊信息化技术能够为COPD病证的临床诊断、治疗及预后判断提供一定依据,并对研究发展趋势提出展望,以期为后续COPD证候精确诊断与疗效评价研究提供参考。
关键词:慢性阻塞性肺疾病;四诊信息化;望诊;闻诊;问诊;脉诊
中图分类号:R241.2;R259.63 文献标识码:A 文章编号:1005-5304(2023)10-0186-05 DOI:10.19879/j.cnki.1005-5304.202212458 开放科学(资源服务)标识码(OSID): Research Progress in Informatization of Four-methods Diagnosis for Chronic Obstructive Pulmonary Disease
SHA Jiaojiao, LU Zhou, JIANG Tao, XU Jiatuo
Basic Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China Abstract: Chronic obstructive pulmonary disease (COPD) has a high prevalence and disability rate, and the combination of disease and syndrome is the main mode of TCM treatment of COPD. This article summarized the relevant research and application progress of COPD four-methods diagnosis information technology from the “observation, auscultation and olfaction, inquiry and pulse-taking” of the four-methods diagnosis of TCM, systematically combed the progress made by the four-methods diagnosis information technology of vision, touch and hearing in COPD prevention and treatment, diagnosis and efficacy evaluation, believed that the four-methods diagnosis information technology could provide certain basis for the clinical diagnosis, treatment and prognosis of COPD syndrome, proposed the future development trend, in order to provide reference for the follow-up accurate diagnosis of COPD syndrome and efficacy evaluation research.
Keywords: chronic obstructive pulmonary disease; informatization of four-methods diagnosis; TCM inspection diagnosis; TCM auscultation and olfaction diagnosis; TCM inquiring diagnosis; TCM pulse diagnosis慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是一种以持续气流受限为特征的可以
预防和治疗的常见疾病,是全球疾病三大死因之一[1],
2019年全球30~79岁人群COPD患病率为10.3%,中国2020年度COPD所致死亡约为90万人[2]。COPD致残率高,2020-2024年中国COPD疾病负担仍保持上升趋势[3]。COPD的西医诊断主要依据危险因素暴露基金项目:国家自然科学基金(82104738、81873235);国家重点研发计划(2017YFC1703301);上海市科委地方院校能力提升项目(21010504400);上海市卫生健康委员会中医药科研项目(2022QN013);HT医学实验领域项目(HYZHXM05001)通讯作者:许家佗,E-mail:xjt@fudan.edu.cn
史、症状、体征及肺功能检查,其中肺功能检查表现为持续气流受限是COPD诊断的“金标准”[4]。在临床肺功能检查中,患者多为中老年,部分有听力障碍或语言障碍,常配合欠佳,更有病情严重者行动不便,导致肺功能检查存在一定局限性。
中医药秉承整体观念,对减少COPD急性加重、
提高生活质量、缓解症状具有较好作用[5]。中医诊断
现代技术通过舌面诊仪、压力传感器、麦克风等多种手段采集数据,利用计算机分析技术结合不同临床信息诊断疾病,具有无创性、便捷性的优点,可以对COPD病情、病程进行判断,对COPD的诊疗具有辅助价值。兹就COPD中医四诊信息化研究进展综述如下。