基于德尔菲法的心悸病痰火扰心证证候诊断的研究

发布时间：2018-03-27 13:43

本文选题：心悸病　切入点：痰火扰心证　出处：《山东中医药大学》2016年硕士论文

【摘要】：目的:通过心悸病痰火扰心证量化诊断量表的建立,找到并建立心悸病量化指标和证候诊断数学模型,以期实现心悸病痰火扰心证辨证的规范化及客观化。方法:通过文献检索筛选出心悸病的常见症状,形成专家问卷,在此基础上筛选条目,形成心悸病痰火扰心证第一版量表,经过小范围测试及不同统计方法筛选,形成第二版量表。之后以统计软件SPSS17.0为工具,对已形成的量表从信度、效度、反应度三个方面进行测评,以保证量表调查的准确性和研究结果的可靠性。后在临床流行病学调查的基础上,依次收集临床资料、建立数据库、确定指标权重系数、建立证候诊断模型,最终确定证候诊断阈值。结果:本研究最终形成了心悸病痰火扰心证诊断量表,经过信度、效度、反应度评估,结果均良好。由此,确立了心悸病痰火扰心证诊断模型,诊断阈值为212.5。结论:心悸病痰火扰心证诊断量表是在文献检索、调查问卷、数据处理等基础上确立的,具有良好的代表性、可靠性和使用价值。本研究成果为心悸病痰火扰心证的进一步研究提供了标准化尺度,并为其他病症规范化研究提供了借鉴思路及支撑方法。
[Abstract]:Objective: to establish a quantitative diagnostic scale for phlegm and fire disturbance in palpitation, and to establish a mathematical model for the diagnosis of palpitation. Methods: the common symptoms of palpitation were screened through literature retrieval, and the expert questionnaire was formed, on the basis of which the items were selected, and the first version of the scale of phlegm and fire disturbing heart syndrome of palpitation was formed. The second version of the scale was formed by small scale tests and different statistical methods, and then the developed scale was evaluated from three aspects of reliability, validity and response with the statistical software SPSS17.0 as a tool. In order to ensure the accuracy of the scale investigation and the reliability of the research results, on the basis of the clinical epidemiological investigation, the clinical data were collected in turn, the database was established, the index weight coefficient was determined, and the syndrome diagnosis model was established. Results: the diagnostic scale of phlegm and fire disturbing heart syndrome of palpitation was finally formed. The results of reliability, validity and response were all good. Thus, the diagnosis model of phlegm fire disturbing heart syndrome of palpitation was established. The diagnostic threshold was 212.5. Conclusion: the diagnosis scale of phlegm and fire disturbing heart syndrome of palpitation was established on the basis of literature search, questionnaire, data processing and so on. The results of this study provide a standardized scale for the further study of phlegm and fire disturbance syndrome of palpitation disease, and provide a reference train of thought and a supporting method for the standardization study of other diseases.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.21

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