基于层次分析法对冠心病痰证辨证依据重要性评估探讨

发布时间：2018-03-10 03:33

本文选题：冠心病　切入点：痰证　出处：《时珍国医国药》2017年09期 　论文类型：期刊论文

【摘要】：目的评价冠心病痰证各症状的相对重要性。方法在文献系统评价以及德尔菲法专家问卷咨询的基础上,开展两轮层次分析法专家咨询,对冠心病痰浊证辨证依据的各个要素均进行两两比较。结果两轮咨询共回收有效问卷81份,第一轮和第二轮分别回收40份和41份问卷,回收率100%。经统计,一级指标权重由高到低依次为临床症状、舌象、脉象。二级指标权重由高到低依次为苔腻、舌淡、脉滑、脉濡、脉弦、胸闷/胸痛、痰多、肢体困重、痞满、体胖、头重、眩晕、倦怠乏力、纳呆、呕恶、嗜睡。结论初步探索证候辨证依据的研究模式:包括文献系统评价,德尔菲法定性专家咨询明确证候依据,层次分析法确定权重,建立证候诊断标准专家共识,但还需要从敏感度和特异度等方面进一步进行临床实践验证。
[Abstract]:Objective to evaluate the relative importance of various symptoms of sputum syndrome of coronary heart disease. Results 81 valid questionnaires were collected in the two rounds of consultation, 40 in the first round and 41 in the second round. The recovery rate was 100. The first grade index weight is clinical symptom, tongue picture, pulse image. The second grade index weight from high to low is greasy moss, light tongue, pulse slip, pulse moistening, pulse string, chest tightness / chest pain, phlegm, limb trap, bulge, body fat, head weight, Conclusion to explore the research mode of syndrome differentiation, including the systematic evaluation of literature, the qualitative expert consultation of Delphi, the weight of analytic hierarchy process, the study of dizziness, fatigue, nausea and lethargy, conclusion the research model of syndrome differentiation is as follows: systematic evaluation of literature, expert consultation of Delphi method, determination of weight by Analytic hierarchy process (AHP). To establish a common understanding of the diagnostic criteria of syndromes, however, further clinical practice is needed in terms of sensitivity and specificity.
【作者单位】：广东省中医院珠海医院;广州中医药大学基础医学院;
【基金】：国家重点基础研究发展计划(“973”计划)(2014CB542901)
【分类号】：O225;R259

【相似文献】