Establishment of diagnosis and evaluation indexes system of syndrome of yin-deficiency of stomach
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摘要: [目的]确定胃阴虚证各证候指标在证候诊断与评价指标中的权重,为制定胃阴虚证的诊断标准与疗效评价标准提供依据。[方法]根据德尔菲(Delphi)法的方法与步骤,对胃阴虚证的证候指标进行筛选,编制成胃阴虚证的专家咨询问卷,以无记名的形式向全国20位专家征求意见,并应用SPSS16.0进行统计分析。[结果]共发放与回收2轮专家问卷。每轮回收有效问卷20份,专家积极系数为100%,平均权威系数为0.89,2轮的诊断指标专家一致性系数分别为0.445与0.482;评价指标的专家一致性系数分别为0.414与0.418,确定了胃阴虚证诊断指标与评价指标中证候指标的组成及权重。[结论]通过德尔菲法确定的胃阴虚证的证候诊断与评价指标体系是科学的,可为中医临床研究及中药新药临床试验中制定胃阴虚证的证候诊断标准与评价标准提供依据。Abstract: [Objective] To determine the weight of each syndrome factors in syndrome of yin-deficiency of stomach in diagnosis and evaluation indexes system,and to provide references to establish the diagnosis and evaluation indexes system.[Methods] According to the working method and steps of Delphi,each syndrome factor of syndrome of yin-deficiency of stomach was screened and a questionnaire was formed.We consulted 20 specialists of related research domain in our country for suggestion anonymously and the result was analyzed by SPSS 16.0.[Results] Two turns of questionnaires were distributed and 20 questionnaires were received each time.The specialist active coefficient was 100%.The average of authority coefficients was 0.89.The concordance coefficient in diagnosis system was 0.445 and 0.482,that in evaluation system was 0.414 and 0.418 in the two turns.Through the result we determined the component factors and its weight in diagnosis and evaluation indexes system of syndrome of yin-deficiency of stomach.[Conclusion] It was scientific to determine the diagnosis and evaluation indexes system of syndrome of yin-deficiency of stomach by Delphi method,and the result can provide references for the establishment of the diagnosis and evaluation indexes system of syndrome of yin-deficiency of stomach in TCM and new drug clinical trials.
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Key words:
- syndrome of yin-deficiency of stomach /
- diagnosis indexes /
- evaluation indexes /
- Delphi method /
- weight
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[1] 袁志彬, 任中保.德尔菲法在技术预见中的应用与思考[J].科学管理研究, 2006(10):217-219.
[2] 李振华, 李保双, 唐旭东, 等.胃火炽盛证诊断与评价指标体系的构建[J].中华中医药杂志, 2010, 25(12):1968-1970.
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