摘要
目的在中医基本理论和中医体质学说的指导下,初步制定胸痹气虚证的疗效评价量表,为临床上胸痹气虚证的疗效评价提供客观依据。方法参照国际通用量表研制的方法,在中医基本理论和中医体质学说的指导下,结合患者主观结局报告(PRO)的概念和函义,通过文献研究、医患深度访谈及专家讨论,初步建立胸痹气虚证疗效评价的初始量表。根据统计学方法及专家意见评定进一步筛选条目。结果采用各种统计方法及专家意见评定,对各个条目逐一分析后进行综合考虑,最后形成含有3个维度(乏力、胸闷、气短)、10个条目(影响日常活动、懒得去做事、影响饮食、需要休息、活动胸闷、经常性胸闷、偶尔闷胀不适、活动气短、说话气短、懒言)的胸痹气虚证疗效评价终选量表。结论本研究基于中医基本理论和中医体质学说的指导,结合统计学分析及专家评议法,能够科学地、合理地制定出胸痹气虚证的疗效评价量表,为临床上胸痹气虚证的疗效评价提供可靠的客观依据。
Objective:To develop a preliminary curative effect evaluation scale for Qi deficiency syndrome of xiongbi,under the guidance of the basic TCM theory and TCM constitution theory,so as to provide objective basis for clinical evaluation of the curative effect of Qi deficiency syndrome of xiongbi was established to provide an objective basis for clinical evaluation of Qi deficiency syndrome of xiongbi.Methods:The initial scale for evaluating the efficacy of Qi deficiency syndrome of xiongbi was initially established,referring to the method of international general scale development,guided by the basic theory of TCM and TCM constitution theory,combined with the concept and meaning of patient′s subjective outcome report(PRO),through literature research,doctorpatient indepth interviews and expert discussions.The entries were further screened according to statistical methods and expert opinions.Results:All kinds of statistical methods and expert opinions were used to analyze the items one by one and then synthetically considered,and then the final selection scale for evaluating the efficacy of Qi deficiency syndrome of xiongbi was formed,including 3 dimensions(fatigue,chest tightness,shortness of breath),and 10 items(affecting daily activities,being lazy to do things,affecting diet,needing rest,chest tightness,frequent chest tightness,occasional stuffy discomfort,short activity,short breath,lazy talk).Conclusion:Based on the ba sic TCM theory and TCM constitution theory,combined with statistical analysis and expert evaluation,this study can scientifically and rationally develop the efficacy evaluation scale of Qi deficiency syndrome of xiongbi,providing a reliable objective basis for clinical evaluation of the efficacy of Qi deficiency syndrome of xiongbi.
作者
刘仕利
吴天石
王凤荣
Liu Shili;Wu Tianshi;Wang Fen grong(Liaoning University of Traditional Chinese Medicine,Liaoning,Shenyang 110847,China)
出处
《中国中医急症》
2019年第10期1796-1799,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
国家重点基础研究发展计划（973计划）（2013CB531704）
关键词
胸痹气虚证
疗效评价
量表
Qi deficiency syndrome of xiongbi
Efficacy evaluation
Evaluation scale
