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1、中医心系问诊量表的研制及评价的论文【摘要】目的:研制中医心系问诊量表,初步探讨中医问诊的规范化研究方法方法:运用量表制作方法,以中医理论为指导,在文献梳理的基础上,研制中医心系问诊量表。借助频次、delphi法和卡方检验等多元统计学方法筛选症状,反复修改心系问诊量表,并进行重测信度、内部一致性信度和内容效度等评价。结果:中医心系问诊量表主要包括基本信息、主诉、现病史(伴随症状)和既往史,并附望、切诊信息及中西医诊断结论。其中一般问诊包括寒热、汗、头身胸腹、饮食口味、二便、睡眠、情绪、妇女等8个维度,最终筛选出66个症状变量。经专家讨论,量表具有较好的内容效度;
2、整个量表一致性检验的克朗巴赫系数α为0.82。同一专家前后两次诊断的一致性结果显示心气虚、心阳虚、痰浊和寒凝的辨证诊断一致性较高,同一医生前后两次测量的kappa值均在0.74~1之间;评分者信度评价中心气虚、心阳虚、心血虚和心阴虚的诊断一致性较高,kappa值分别为0.63、0.72、1和0.48,其余的诊断一致性较低或不能说具有一致性。结论:运用量表制作方法对中医问诊进行规范化研究具有一定的可行性,心系问诊量表的研制,还可为其他脏腑问诊量表的研制提供参考。【关键词】问诊;心系证候;量表liugp,ed.2009;7(1):2024.receivedjul
3、y28,2008;acceptedseptember29,2008;publishedonlinejanuary15,2009.indexed/abstractedinandfulltextlinkoutatpubmed.journaltitleinpubmed:zhongxiyijiehexuebao.freefulltext(htmlandpdf)isavailableat.for20090103openaccessdevelopmentandevaluationofaninquiryscalefordiagnosisofheartsystemsyndr
4、omesintraditionalchinesemedicineguopingliu1,yiqinesoftraditionalchinesemedicine,shanghaiuniversityoftraditionalchinesemedicine,shanghai201203,china2.departmentofhealthstatisticsandsocialmedicine,schoolofpublichealth,fudanuniversity,shanghai200032,chinaobjective:todevelopaninquirys
5、calefordiagnosisofheartsystemsyndromes,andtodiscusstheprovisionalstandardizationoftheinquirymethodintraditionalchinesemedicine(tcm).methods:basedonscalemakingmethod,chinesemedicinetheoryandliteraturesearching,aninquiryscalefordiagnosisofheartsystemsyndromesintcmethod,frequencycount
6、inganddelphimethodsyndromesmainlycoveredbasicdata,chiefplaint,historyofpresentillness(acpanyingsymptoms)andpasthistory,ationasadeaccordingtotraditionalchineseandedicine.amongthem,generalinquiriescoveredfeverandchills,sptoms,tasteanddiet,stoolandurine,sleep,mood,andgynecologicsymptom
7、s,ensions.and66symptomvariables,andcoldcoagulationtedoctorrangedfrom0.74to1,shoent.conclusion:theresearchonthescaleforinquiryintcmindicatesthatitisfeasibleforthestandardizationofinquiryscalefordiagnosisofheartsystemsyndromesintcm,offeringareferenceforresearchontheinquiryscalesforoth
8、ersystems.keyptompl