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目的研究儿童支原体肺炎中医辨证分型与电子支气管镜像的相关性。方法将198例儿童支原体肺炎住院患者分别按临床中医辨证分型和电子支气管镜镜像自拟分型标准,分为湿热闭肺型、毒热闭肺型和正虚邪恋型,探讨中医辨证分型与电子支气管镜下所见镜像的相关性。结果电子支气管镜下镜像分型与临床辨证分型标准比较,湿热闭肺型一致度K^=0.645,Spearman相关系数r_s=0.653,差异有统计学意义(P<0.01);毒热闭肺型一致度K^=0.724,r_s=0.727,差异有统计学意义(P<0.01);正虚邪恋型一致度K^=0.506,r_s=0.515,差异有统计学意义(P<0.01)。结论儿童支原体肺炎中医辨证临床分型和电子支气管镜下望诊分型一致度中等,并有显著相关性。
Objective To study the correlation between TCM syndrome differentiation and electronic bronchoscopy in children with mycoplasma pneumonia. Methods 198 cases of children with mycoplasma pneumonia inpatients were classified according to clinical TCM syndrome classification and electronic bronchoscopy mirror classification criteria, divided into hot and humid closed lung type, toxic heat closed lung type and Zhengxu Xie love type, to explore the TCM syndrome differentiation Correlation with image seen under electronic bronchoscopy. Results Compared with clinical syndrome classification, the concordance degree between wet and heat closed lungs was 0.645, Spearman correlation coefficient was 0.653, the difference was statistically significant (P <0.01) The concordance K = 0.724, r_s = 0.727, the difference was statistically significant (P <0.01). The concordance degree of Zhengxu Evil Love Type was K ^ = 0.506, r_s = 0.515, the difference was statistically significant (P <0.01). Conclusion Mycoplasma pneumonia in children clinical classification of syndrome differentiation and electronic bronchoscopy under the diagnosis of moderate consistency, and a significant correlation.