【作者】 李东涛； 王剑； 李洁； 朱敬秀； 张美增； 魏陵博； 姜荣钦； 刘学法；

【Author】 LI Dong-Tao~1,WANG Jian~1, Jie LI~2,Xiu-Jing ZHU~3,ZHANG Mei-Zeng~4,WEI Ling-Bo~2,JIANG Rong-Qin~5,LIU Xue-Fa~2(1.Qingdao first sanatorium,Jinan Military Region,Qingdao,266071 China;2. Qingdao Hai Ci Medical Group Qingdao,266033 China;3.Qingdao second sanatorium,Jinan Military Region Qingdao,266071 China;4.Affiliated Hospital of Qingdao University Medical College Qingdao,266071 China;5.Qingdao Hospital of Integrated Traditional Chinese and Western Medicine Qingdao,266002 China)

【机构】 济南军医青岛第一疗养院； 青岛海慈医疗集团； 济南军医青岛第二疗养院； 青岛大学医学院附属医院； 青岛中西医结合医院；

【摘要】 目的构建以证候为内容的冠心病中医疗效评价体系,并验证可靠性。方法以100mm刻度法及综合评价层次分析法(AHP)为数学工具,以"综合集成研讨厅"为重要研讨方式,共取57个中医症状为底层指标、以11个基本证候及实证、虚证为第二层、第三层次指标,以证候总评价为顶层指标,初步构建了以证候为内容的冠心病综合疗效评价体系。并在临床上与心绞痛评分、西雅图心绞痛评分、生存质量(SF-36)等进行了相关性对比研究,对模型的可靠性进行了验证。结果成功地构建了以证候为内容的冠心病中医疗效综合评价体系。在与西医指标的对比研究中,证候总评分与心绞痛评分、西雅图心绞痛评分、生存质量(SF-36)有显著的相关性,说明以证候相关指标构建的中医疗效评价体系,能够反映冠心病进展情况、患者患者的生存质量状况。结论构建的冠心病中医疗效评价体系,能够反映冠心病疾病轻重程度,具有较好的合理性,适用性较强,能体现中医特点,是值得推广的冠心病中医证候综合疗效评价体系。更多还原

【Abstract】 Objective To construct a system of therapeutic effect evaluation for patients with coronary heart disease(CHD) according to the theory of syndrome differentiation in traditional Chinese medicine(TCM),and to examine its reliability. Methods Analytic hierarchy process(AHP) and 100 mm surveyors rod method were applied as a mathematical tool,"Hall for Workshop of Metasynthetic Engineering" was applied as an important way of discussion,57 symptoms of TCM were selected as the underlying index,11 basic syndromes of TCM and excessive syndromes and deficient syndromes were applied as a second-level indicators and third-level indicators,the total assessment of TCM syndromes was applied as a top-level indicator,Initially constructed to the Comprehensive Clinical Evaluation System for Coronary Heart Disease,symptoms of TCM as its content.And its reliability was verified in clinical practice by comparing with some evaluation criteria in western medicine,such as angina pectoris score; Seattle Angina score;and quality of life(SF-36),etc.Results A system of therapeutic effect evaluation was constructed,and the comparative study with Western medicine targets,the total score of TCM syndromes has a significant correlation with angina pectoris score,the Seattle angina score,quality of life(SF-36),and it could reflect the progress of CHD and quality of life in patients.Conclusion The system of therapeutic effect evaluation on coronary heart disease can reflect the severity of disease and characteristics of TCM treatment,and it is a more reasonable and worthy of promotion in the clinical.更多还原